House Bill 2029

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    Florida House of Representatives - 2000                HB 2029

        By Representative Bloom






  1                      A bill to be entitled

  2         An act relating to health care coverage;

  3         amending s. 627.402, F.S.; providing a

  4         definition; amending s. 627.410, F.S.;

  5         prescribing requirements for determining

  6         whether a health insurance policy provides

  7         benefits that are reasonable in relation to

  8         premium rates; providing disclosure

  9         requirements regarding rates; revising certain

10         filing requirements regarding actuarial

11         justification; deleting certain provisions that

12         establish presumptions regarding the

13         reasonableness of rates; amending s. 627.411,

14         F.S.; authorizing the Department of Insurance

15         to disapprove forms, rate manuals, or rate

16         schedules because of certain rates or rate

17         increases; creating s. 627.42396, F.S.;

18         requiring certain health insurance policies to

19         allow insureds to obtain drugs that are not

20         included in the insurer's drug formulary;

21         amending s. 641.31, F.S.; providing

22         requirements for determining whether a health

23         maintenance contract provides benefits that are

24         reasonable in relation to premium rates;

25         providing disclosure requirements regarding

26         premium rates; authorizing the Department of

27         Insurance to disapprove rate changes that

28         exceed certain standards; requiring certain

29         health maintenance contracts to allow members

30         to obtain drugs that are not included in the

31         health maintenance organization's drug

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  1         formulary; amending s. 641.315, F.S.;

  2         prohibiting service providers from referring

  3         collections of moneys for certain services to

  4         collection agencies; providing an effective

  5         date.

  6

  7  Be It Enacted by the Legislature of the State of Florida:

  8

  9         Section 1.  Subsection (3) is added to section 627.402,

10  Florida Statutes, to read:

11         627.402  Definitions; specified certificates not

12  included.--As used in this part, the term:

13         (3)  "Insurer conduct" means the following actions or

14  inactions of an insurer or health maintenance organization

15  with respect to a policy form which have resulted in

16  inadequate rates and the need for extraordinary rate

17  increases:

18         (a)  Failure to make a filing in compliance with s.

19  627.410(7) or s. 627.6745(2);

20         (b)  Failure to correct a rate filing when the

21  department presented information to the insurer or health

22  maintenance organization at the time the filing was approved

23  that suggested the rates were inadequate and the insurer or

24  health maintenance organization did not adequately resolve the

25  department's concerns;

26         (c)  Violation of applicable actuarial standards of

27  practice at the time of a filing;

28         (d)  Failure to have implemented the underwriting

29  standards assumed in the pricing assumptions of the form; or

30         (e)  The use of pricing assumptions that have resulted

31  in a demonstrated pattern of product underpricing.

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  1         Section 2.  Subsections (6), (7), and (8) of section

  2  627.410, Florida Statutes, are amended to read:

  3         627.410  Filing, approval of forms.--

  4         (6)(a)  An insurer shall not deliver or issue for

  5  delivery or renew in this state any health insurance policy

  6  form until it has filed with the department a copy of every

  7  applicable rating manual, rating schedule, change in rating

  8  manual, and change in rating schedule; if rating manuals and

  9  rating schedules are not applicable, the insurer must file

10  with the department applicable premium rates and any change in

11  applicable premium rates.

12         (b)  The department may establish by rule, for each

13  type of health insurance form, procedures to be used in

14  ascertaining the reasonableness of benefits in relation to

15  premium rates and may, by rule, exempt from any requirement of

16  paragraph (a) any health insurance policy form or type thereof

17  (as specified in such rule) to which form or type such

18  requirements may not be practically applied or to which form

19  or type the application of such requirements is not desirable

20  or necessary for the protection of the public. With respect to

21  any health insurance policy form or type thereof which is

22  exempted by rule from any requirement of paragraph (a),

23  premium rates filed pursuant to ss. 627.640 and 627.662 shall

24  be for informational purposes.

25         (c)  Every filing made pursuant to this subsection

26  shall be made within the same time period provided in, and

27  shall be deemed to be approved under the same conditions as

28  those provided in, subsection (2).

29         (d)  Every filing made pursuant to this subsection,

30  except disability income policies and accidental death

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  1  policies, shall be prohibited from applying the following

  2  rating practices:

  3         1.  Select and ultimate premium schedules.

  4         2.  Premium class definitions which classify insured

  5  based on year of issue or duration since issue.

  6         3.  Attained age premium structures on policy forms

  7  under which more than 50 percent of the policies are issued to

  8  persons age 65 or over.

  9         (e)  Except as provided in subparagraph 1., an insurer

10  shall continue to make available for purchase any individual

11  policy form issued on or after October 1, 1993.  A policy form

12  shall not be considered to be available for purchase unless

13  the insurer has actively offered it for sale in the previous

14  12 months.

15         1.  An insurer may discontinue the availability of a

16  policy form if the insurer provides to the department in

17  writing its decision at least 30 days prior to discontinuing

18  the availability of the form of the policy or certificate.

19  After receipt of the notice by the department, the insurer

20  shall no longer offer for sale the policy form or certificate

21  form in this state.

22         2.  An insurer that discontinues the availability of a

23  policy form pursuant to subparagraph 1. shall not file for

24  approval a new policy form providing similar benefits as the

25  discontinued form for a period of 5 years after the insurer

26  provides notice to the department of the discontinuance. The

27  period of discontinuance may be reduced if the department

28  determines that a shorter period is appropriate.

29         3.  The experience of all policy forms providing

30  similar benefits shall be combined for all rating purposes.

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  1         (f)  To satisfy the requirement that benefits be

  2  reasonable in relationship to the premium rates, in addition

  3  to any requirement established under paragraph (b), the

  4  premium rate schedule must:

  5         1.  Reflect only the actual and reasonable

  6  administrative expenses of the insurer for the efficient

  7  administration and maintenance of the affected forms.

  8         2.  Reflect a reasonable profit and contingency margin.

  9         3.  For coverage sold to an individual who pays up to a

10  stated predetermined amount per day or per confinement for one

11  or more named conditions or named diseases, or for accidental

12  injury, or pays based on the costs of specified health care

13  services, be determined such that not less than 85 percent of

14  additional premiums charged an insured, which premiums are

15  charged at greater than the rate in effect when the coverage

16  was purchased, will apply to policyholder benefits. This

17  subparagraph does not apply to increases in premiums for

18  attained age based on an existing premium rate schedule, or to

19  policies for which 30 percent or more of the total initial

20  health insurance claim costs are attributable to benefits that

21  are based on costs of specified health care services.

22         (g)  Each insurer shall provide the following

23  disclosure information to potential insureds at the time of

24  solicitation of coverage and to all insureds at the time of

25  any rate increase under the form in readily understandable

26  language and format: the current rate and any scheduled or

27  anticipated rate increases, an explanation of when the rates

28  may be changed, and a 10-year rate increase history on the

29  form and similar forms. The information must be filed with the

30  department with any form or rate filing made under this

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  1  section. The department may adopt rules to administer this

  2  paragraph.

  3         (7)(a)  Each insurer subject to the requirements of

  4  subsection (6) shall make an annual filing with the department

  5  no later than 12 months after its previous filing,

  6  demonstrating the reasonableness of benefits in relation to

  7  premium rates.  The department, after receiving a request to

  8  be exempted from the provisions of this section, may, for good

  9  cause due to insignificant numbers of policies in force or

10  insignificant premium volume, exempt a company, by line of

11  coverage, from filing rates or rate certification as required

12  by this section.

13         (b)  The filing required by this subsection shall be

14  satisfied by one of the following methods:

15         1.  A rate filing prepared by an actuary which contains

16  documentation demonstrating the reasonableness of benefits in

17  relation to premiums charged in accordance with the applicable

18  rating laws and rules promulgated by the department.

19         2.  If no rate change is proposed, a filing that which

20  consists of actuarial justification and a certification by an

21  actuary that benefits are reasonable in relation to premiums

22  currently charged in accordance with procedures that are

23  consistent with applicable laws and rules adopted promulgated

24  by the department.

25         (c)  As used in this section, "actuary" means an

26  individual who is a member of the Society of Actuaries or the

27  American Academy of Actuaries.  If an insurer does not employ

28  or otherwise retain the services of an actuary, the insurer's

29  certification shall be prepared by insurer personnel or

30  consultants with a minimum of 5 years' experience in insurance

31  ratemaking. The chief executive officer of the insurer shall

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  1  review and sign the certification indicating his or her

  2  agreement with its conclusions.

  3         (d)  If at the time a filing is required under this

  4  section an insurer is in the process of completing a rate

  5  review, the insurer may apply to the department for an

  6  extension of up to an additional 30 days in which to make the

  7  filing.  The request for extension must be received by the

  8  department in its offices in Tallahassee no later than the

  9  date the filing is due.

10         (e)  If an insurer fails to meet the filing

11  requirements of this subsection and does not submit the filing

12  within 60 days following the date the filing is due, the

13  department may, in addition to any other penalty authorized by

14  law, order the insurer to discontinue the issuance of policies

15  for which the required filing was not made, until such time as

16  the department determines that the required filing is properly

17  submitted.

18         (8)(a)  For the purposes of subsections (6) and (7),

19  benefits of an individual accident and health insurance policy

20  form, including Medicare supplement policies as defined in s.

21  627.672, when authorized by rules adopted by the department,

22  and excluding long-term care insurance policies as defined in

23  s. 627.9404, and other policy forms under which more than 50

24  percent of the policies are issued to individuals age 65 and

25  over, are deemed to be reasonable in relation to premium rates

26  if the rates are filed pursuant to a loss ratio guarantee and

27  both the initial rates and the durational and lifetime loss

28  ratios have been approved by the department, and such benefits

29  shall continue to be deemed reasonable for renewal rates while

30  the insurer complies with such guarantee, provided the

31  currently expected lifetime loss ratio is not more than 5

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  1  percent less than the filed lifetime loss ratio as certified

  2  to by an actuary.  The department shall have the right to

  3  bring an administrative action should it deem that the

  4  lifetime loss ratio will not be met.  For Medicare supplement

  5  filings, the department may withdraw a previously approved

  6  filing which was made pursuant to a loss ratio guarantee if it

  7  determines that the filing is not in compliance with ss.

  8  627.671-627.675 or the currently expected lifetime loss ratio

  9  is less than the filed lifetime loss ratio as certified by an

10  actuary in the initial guaranteed loss ratio filing.  If this

11  section conflicts with ss. 627.671-627.675, ss.

12  627.671-627.675 shall control.

13         (b)  The renewal premium rates shall be deemed to be

14  approved upon filing with the department if the filing is

15  accompanied by the most current approved loss ratio guarantee.

16  The loss ratio guarantee shall be in writing, shall be signed

17  by an officer of the insurer, and shall contain at least:

18         1.  A recitation of the anticipated lifetime and

19  durational target loss ratios contained in the actuarial

20  memorandum filed with the policy form when it was originally

21  approved.  The durational target loss ratios shall be

22  calculated for 1-year experience periods.  If statutory

23  changes have rendered any portion of such actuarial memorandum

24  obsolete, the loss ratio guarantee shall also include an

25  amendment to the actuarial memorandum reflecting current law

26  and containing new lifetime and durational loss ratio targets.

27         2.  A guarantee that the applicable loss ratios for the

28  experience period in which the new rates will take effect, and

29  for each experience period thereafter until new rates are

30  filed, will meet the loss ratios referred to in subparagraph

31  1.

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  1         3.  A guarantee that the applicable loss ratio results

  2  for the experience period will be independently audited at the

  3  insurer's expense.  The audit shall be performed in the second

  4  calendar quarter of the year following the end of the

  5  experience period, and the audited results shall be reported

  6  to the department no later than the end of such quarter.  The

  7  department shall establish by rule the minimum information

  8  reasonably necessary to be included in the report.  The audit

  9  shall be done in accordance with accepted accounting and

10  actuarial principles.

11         4.  A guarantee that affected policyholders in this

12  state shall be issued a proportional refund, based on the

13  premium earned, of the amount necessary to bring the

14  applicable experience period loss ratio up to the durational

15  target loss ratio referred to in subparagraph 1.  The refund

16  shall be made to all policyholders in this state who are

17  insured under the applicable policy form as of the last day of

18  the experience period, except that no refund need be made to a

19  policyholder in an amount less than $10. Refunds less than $10

20  shall be aggregated and paid pro rata to the policyholders

21  receiving refunds.  The refund shall include interest at the

22  then-current variable loan interest rate for life insurance

23  policies established by the National Association of Insurance

24  Commissioners, from the end of the experience period until the

25  date of payment.  Payments shall be made during the third

26  calendar quarter of the year following the experience period

27  for which a refund is determined to be due. However, no

28  refunds shall be made until 60 days after the filing of the

29  audit report in order that the department has adequate time to

30  review the report.

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  1         5.  A guarantee that if the applicable loss ratio

  2  exceeds the durational target loss ratio for that experience

  3  period by more than 20 percent, provided there are at least

  4  2,000 policyholders on the form nationwide or, if not, then

  5  accumulated each calendar year until 2,000 policyholder years

  6  is reached, the insurer, if directed by the department, shall

  7  withdraw the policy form for the purposes of issuing new

  8  policies.

  9         (c)  As used in this subsection:

10         1.  "Loss ratio" means the ratio of incurred claims to

11  earned premium.

12         2.  "Applicable loss ratio" means the loss ratio

13  attributable solely to this state if there are 2,000 or more

14  policyholders in the state. If there are 500 or more

15  policyholders in this state but less than 2,000, it is the

16  linear interpolation of the nationwide loss ratio and the loss

17  ratio for this state.  If there are less than 500

18  policyholders in this state, it is the nationwide loss ratio.

19         3.  "Experience period" means the period, ordinarily a

20  calendar year, for which a loss ratio guarantee is calculated.

21         Section 3.  Subsection (1) of section 627.411, Florida

22  Statutes, is amended to read:

23         627.411  Grounds for disapproval.--

24         (1)  The department may shall disapprove any form, rate

25  manual, or rate schedule filed under s. 627.410, or withdraw

26  any previous approval thereof, only if the form, manual, or

27  schedule:

28         (a)  Is in any respect in violation of, or does not

29  comply with, this code.

30         (b)  Contains or incorporates by reference, where such

31  incorporation is otherwise permissible, any inconsistent,

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  1  ambiguous, or misleading clauses, or exceptions and conditions

  2  which deceptively affect the risk purported to be assumed in

  3  the general coverage of the contract.

  4         (c)  Has any title, heading, or other indication of its

  5  provisions which is misleading.

  6         (d)  Is printed or otherwise reproduced in such manner

  7  as to render any material provision of the form substantially

  8  illegible.

  9         (e)  Is for health insurance, and provides benefits

10  that which are unreasonable in relation to the premium charged

11  or, contains provisions that which are unfair or inequitable,

12  or are contrary to the public policy of this state, are

13  unfairly discriminatory, or which encourage misrepresentation,

14  or which apply rating methods, assumptions, or practices that

15  result in:

16         1.  Any rate increase as a result of insurer conduct,

17  as defined in s. 627.402, unless such increase is implemented

18  with an approved rate for new insureds and as to existing

19  insureds at the time of the increase, over a period of years

20  as follows:

21         a.  For forms with benefits subject to medical

22  inflation, the premium schedule increase applicable to

23  existing insureds at the time of the filing shall be the

24  greater of 10 percent of the existing rate or 135 percent of

25  medical trend.  Annual rate increases in subsequent years for

26  the new issue premium schedule shall be increased in

27  accordance with rules adopted by the department.  The annual

28  increase for the existing insureds' premium schedule shall be

29  the greater of 10 percent of the new issue premium schedule or

30  135 percent of the rate increase approved for the new issue

31  premium schedule until the two premium schedules converge.

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  1         b.  For forms with benefits not subject to medical

  2  inflation, the period of years for the two schedules to

  3  converge shall be 2 years if the two rate increases are less

  4  than 10 percent, otherwise 3 years;

  5         2.  Any rate increase as a result of multiple events of

  6  insurer conduct unless a plan of corrective action is approved

  7  by the department;

  8         3.  Any rate increase attributed to forms being closed

  9  as to new sales, unless such increase is limited to the rate

10  increase being realized in the general insurance market of

11  current forms available for sale with similar benefits; or

12         4.  For new forms, any rate schedule that is not

13  actuarially sustainable, except for medical trend increases

14  where applicable.

15

16  The department shall adopt rules to implement the provisions

17  of this paragraph practices which result in premium

18  escalations that are not viable for the policyholder market or

19  result in unfair discrimination in sales practices.

20         (f)  Excludes coverage for human immunodeficiency virus

21  infection or acquired immune deficiency syndrome or contains

22  limitations in the benefits payable, or in the terms or

23  conditions of such contract, for human immunodeficiency virus

24  infection or acquired immune deficiency syndrome which are

25  different than those which apply to any other sickness or

26  medical condition.

27         Section 4.  Section 627.42396, Florida Statutes, is

28  created to read:

29         627.42396  Coverage for prescription drugs.--A health

30  insurance policy that offers prescription drug coverage for

31  drugs included in a formulary must also contain a provision

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  1  that allows an insured to obtain prescription drugs not

  2  included in the insurer's drug formulary if the insured's

  3  treating physician certifies that the drug is essential for

  4  effective treatment of the insured's covered condition.  The

  5  insured's copayment may not exceed the amount payable by the

  6  insured for nongeneric prescription drugs covered by the

  7  formulary.

  8         Section 5.  Subsections (2) and (3) of section 641.31,

  9  Florida Statutes, are amended, and subsection (39) is added to

10  said section, to read:

11         641.31  Health maintenance contracts.--

12         (2)(a)  The rates charged by any health maintenance

13  organization to its subscribers shall not be excessive,

14  inadequate, or unfairly discriminatory or follow a rating

15  methodology that is inconsistent, indeterminate, or ambiguous

16  or encourages misrepresentation or misunderstanding.  The

17  department, in accordance with generally accepted actuarial

18  practice as applied to health maintenance organizations, may

19  define by rule what constitutes excessive, inadequate, or

20  unfairly discriminatory rates and may require whatever

21  information it deems necessary to determine that a rate or

22  proposed rate meets the requirements of this subsection.

23         (b)  To satisfy the requirement that benefits be

24  reasonable in relationship to the rates charged, in addition

25  to any requirement established under paragraph (a), the

26  premium rate schedule must:

27         1.  Reflect only the actual and reasonable

28  administrative expenses of the health maintenance organization

29  for the efficient administration and maintenance of the

30  affected forms.

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  1         2.  Demonstrate a reasonable profit and contingency

  2  margin.

  3         (c)  Each health maintenance organization shall provide

  4  the following disclosure information to potential subscribers

  5  at the time of solicitation of coverage and to all subscribers

  6  at the time of any rate increase under the form in readily

  7  understandable language and format: the current rate and any

  8  scheduled or anticipated rate increases, an explanation of

  9  when the rates may be changed, and a 10-year rate increase

10  history on the form and similar forms. The information must be

11  filed with the department with any form or rate filing made

12  under this section. The department may adopt rules to

13  administer this paragraph.

14         (3)(a)  If a health maintenance organization desires to

15  amend any contract with its subscribers or any certificate or

16  member handbook, or desires to change any basic health

17  maintenance contract, certificate, grievance procedure, or

18  member handbook form, or application form where written

19  application is required and is to be made a part of the

20  contract, or printed amendment, addendum, rider, or

21  endorsement form or form of renewal certificate, it may do so,

22  upon filing with the department the proposed change or

23  amendment.  Any proposed change shall be effective

24  immediately, subject to disapproval by the department.

25  Following receipt of notice of such disapproval or withdrawal

26  of approval, no health maintenance organization shall issue or

27  use any form disapproved by the department or as to which the

28  department has withdrawn approval.

29         (b)  Any change in the rate is subject to paragraph (d)

30  and requires at least 30 days' advance written notice to the

31  subscriber. In the case of a group member, there may be a

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  1  contractual agreement with the health maintenance organization

  2  to have the employer provide the required notice to the

  3  individual members of the group.

  4         (c)  The department shall disapprove any form filed

  5  under this subsection, or withdraw any previous approval

  6  thereof, if the form:

  7         1.  Is in any respect in violation of, or does not

  8  comply with, any provision of this part or rule adopted

  9  thereunder.

10         2.  Contains or incorporates by reference, where such

11  incorporation is otherwise permissible, any inconsistent,

12  ambiguous, or misleading clauses or exceptions and conditions

13  which deceptively affect the risk purported to be assumed in

14  the general coverage of the contract.

15         3.  Has any title, heading, or other indication of its

16  provisions which is misleading.

17         4.  Is printed or otherwise reproduced in such a manner

18  as to render any material provision of the form substantially

19  illegible.

20         5.  Contains provisions which are unfair, inequitable,

21  or contrary to the public policy of this state or which

22  encourage misrepresentation.

23         6.  Excludes coverage for human immunodeficiency virus

24  infection or acquired immune deficiency syndrome or contains

25  limitations in the benefits payable, or in the terms or

26  conditions of such contract, for human immunodeficiency virus

27  infection or acquired immune deficiency syndrome which are

28  different than those which apply to any other sickness or

29  medical condition.

30         (d)1.  Any change in rates charged for the contract

31  must be filed with the department not less than 30 days in

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  1  advance of the effective date. At the expiration of such 30

  2  days, the rate filing shall be deemed approved unless prior to

  3  such time the filing has been affirmatively approved or

  4  disapproved by order of the department. The approval of the

  5  filing by the department constitutes a waiver of any unexpired

  6  portion of such waiting period. The department may extend by

  7  not more than an additional 15 days the period within which it

  8  may so affirmatively approve or disapprove any such filing, by

  9  giving notice of such extension before expiration of the

10  initial 30-day period. At the expiration of any such period as

11  so extended, and in the absence of such prior affirmative

12  approval or disapproval, any such filing shall be deemed

13  approved.

14         2.  The department shall disapprove any change in rates

15  which applies rating methods, assumptions, or practices that

16  result in:

17         a.  Any rate increase as a result of insurer conduct,

18  as defined in s. 627.402, unless such increase is implemented

19  with an approved rate for new insureds and as to existing

20  insureds at the time of the increase, over a period of years

21  as follows:

22         (I)  For forms with benefits subject to medical

23  inflation, the premium schedule increase applicable to

24  existing insureds at the time of the filing shall be the

25  greater of 10 percent of the existing rate or 135 percent of

26  medical trend.

27         (II)  Annual rate increases in subsequent years for the

28  new issue premium schedule shall be increased in accordance

29  with rules adopted by the department.

30         (III)  The annual increase for the existing insureds'

31  premium schedule shall be the greater of 10 percent of the new

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  1  issue premium schedule or 135 percent of the rate increase

  2  approved for the new issue premium schedule until the two

  3  premium schedules converge;

  4         b.  Any rate increase as a result of multiple events of

  5  insurer conduct unless a plan of corrective action is approved

  6  by the department;

  7         c.  Any rate increase attributed to forms being closed

  8  as to new sales, unless such increase is limited to the rate

  9  increase being realized in the general insurance market of

10  current forms available for sale with similar benefits; or

11         d.  For new forms, rate schedules that are not

12  actuarially sustainable, except for medical trend increases

13  where applicable.

14

15  The department shall adopt rules to implement the provisions

16  of this subparagraph.

17         (e)  It is not the intent of this subsection to

18  restrict unduly the right to modify rates in the exercise of

19  reasonable business judgment.

20         (39)  A health maintenance organization contract form

21  that provides prescription drug coverage for drugs included in

22  a formulary must also contain a provision that allows a member

23  to obtain prescription drugs not included in the health

24  maintenance organization's drug formulary if the member's

25  treating physician certifies that the drug is essential for

26  effective treatment of the member's covered condition.  The

27  member's copayment may not exceed the amount payable by the

28  member for nongeneric prescription drugs covered by the

29  formulary.

30         Section 6.  Subsection (3) of section 641.315, Florida

31  Statutes, is amended to read:

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CODING: Words stricken are deletions; words underlined are additions.






    Florida House of Representatives - 2000                HB 2029

    252-390-00






  1         641.315  Provider contracts.--

  2         (3)  No provider of services or any representative of

  3  such provider shall collect or attempt to collect from an HMO

  4  subscriber any money for services covered by an HMO, or

  5  contract with a debt collection agency for the collection of

  6  such money. and No provider or representative of such provider

  7  may maintain any action at law against a subscriber of an HMO

  8  to collect money owed to such provider by an HMO.

  9         Section 7.  This act shall take effect July 1, 2000,

10  and apply to all policies, contracts, and policies issued or

11  renewed on or after that date.

12

13            *****************************************

14                          HOUSE SUMMARY

15
      Revises various provisions relating to rates and rate
16    increases on health insurance policies and health
      maintenance contracts. Establishes disclosure
17    requirements and provides rate increase guidelines.
      Authorizes the Department of Insurance to disapprove
18    certain forms, rate manuals, and rate schedules. Provides
      for insureds and members to obtain non-formulary drugs.
19    See bill for details.

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