HOUSE AMENDMENT
Bill No. HB 723 CS
   
1 CHAMBER ACTION
2
Senate House
3 .
4 .
5 .
6         
7         
8         
9         
10         
11         
12          Representative Llorente offered the following:
13         
14          Amendment
15          Remove line(s) 1241-1265, and insert:
16          Section 20. Subsections (1) and (3) of section 641.3111,
17    Florida Statutes, are amended to read:
18          641.3111 Extension of benefits.--
19          (1) Every group health maintenance contract shall provide
20    that termination of the contract shall be without prejudice to
21    any continuous loss which commenced while the contract was in
22    force, but any extension of benefits beyond the period the
23    contract was in force may be predicated upon the continuous
24    total disability of the subscriber and may be limited to payment
25    for the treatment of a specific accident or illness incurred
26    while the subscriber was a member. The extension is required
27    regardless of whether the group contract holder or other entity
28    secures replacement coverage from a new insurer or health
29    maintenance organization or foregoes the provision of coverage.
30    The required provision must provide for continuation of contract
31    benefits in connection with the treatment of a specific accident
32    or illness incurred while the contract was in effect.Such
33    extension of benefits may be limited to the occurrence of the
34    earliest of the following events:
35          (a) The expiration of 12 months.
36          (b) Such time as the member is no longer totally disabled.
37          (c) A succeeding carrier elects to provide replacement
38    coverage without limitation as to the disability condition.
39          (c)(d)The maximum benefits payable under the contract
40    have been paid.
41          (3) In the case of maternity coverage, when not covered by
42    the succeeding carrier,a reasonable extension of benefits or
43    accrued liability provision is required, which provision
44    provides for continuation of the contract benefits in connection
45    with maternity expenses for a pregnancy that commenced while the
46    policy was in effect. The extension shall be for the period of
47    that pregnancy and shall not be based upon total disability.