1 | Representative(s) Benson offered the following: |
2 |
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3 | Amendment (with title amendment) |
4 | On page 5, between lines 20 and 21, insert: |
5 | Section 7. Subsection (3) is added to section 627.6402, |
6 | Florida Statutes, to read: |
7 | 627.6402 Insurance rebates for healthy lifestyles.-- |
8 | (3) In addition to the outline of coverage, a policy as |
9 | specified in s. 627.6699(3)(k) must be accompanied by an |
10 | identification card that contains, at a minimum: |
11 | (a) The name of the organization issuing the policy or |
12 | the name of the organization administering the policy, whichever |
13 | applies. |
14 | (b) The name of the contract holder. |
15 | (c) The type of plan only if the plan is filed in the |
16 | state, an indication that the plan is self-funded, or the name |
17 | of the network. |
18 | (d) The member identification number, contract number, |
19 | and policy or group number, if applicable. |
20 | (e) A contact phone number or electronic address for |
21 | authorizations. |
22 | (f) A phone number or electronic address by which the |
23 | covered person or hospital, physician, or other person rendering |
24 | services covered by the policy may determine if the plan is |
25 | insured and may obtain a benefits verification in order to |
26 | estimate patient financial responsibility, in compliance with |
27 | privacy rules under the Health Insurance Portability and |
28 | Accountability Act of 1996. |
29 | (g) The national plan identifier, in accordance with the |
30 | compliance date set forth by the United States Department of |
31 | Health and Human Services. The identification card must present |
32 | the information in a readily identifiable manner or the |
33 | information may be embedded on the card and available through |
34 | magnetic stripe or smart card. The information may also be |
35 | provided through other electronic technology. |
36 | Section 8. Subsection (2) of section 627.657, Florida |
37 | Statutes, is renumbered as subsection (3), and a new subsection |
38 | (2) is added to that section, to read: |
39 | 627.657 Provisions of group health insurance policies.-- |
40 | (2) The medical policy as specified in s. 627.6699(3)(k) |
41 | must be accompanied by an identification card that contains, at |
42 | a minimum: |
43 | (a) The name of the organization issuing the policy or |
44 | name of the organization administering the policy, whichever |
45 | applies. |
46 | (b) The name of the certificateholder. |
47 | (c) The type of plan only if the plan is filed in the |
48 | state, an indication that the plan is self-funded, or the name |
49 | of the network. |
50 | (d) The member identification number, contract number, |
51 | and policy or group number, if applicable. |
52 | (e) A contact phone number or electronic address for |
53 | authorizations. |
54 | (f) A phone number or electronic address by which the |
55 | covered person or hospital, physician, or other person rendering |
56 | services covered by the policy may determine if the plan is |
57 | insured and may obtain a benefits verification in order to |
58 | estimate patient financial responsibility, in compliance with |
59 | privacy rules under the Health Insurance Portability and |
60 | Accountability Act of 1996. |
61 | (g) The national plan identifier, in accordance with the |
62 | compliance date set forth by the United States Department of |
63 | Health and Human Services. |
64 |
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65 | The identification card must present the information in a |
66 | readily identifiable manner or, alternatively, the information |
67 | may be embedded on the card and available through magnetic |
68 | stripe or smart card. The information may also be provided |
69 | through other electronic technology. |
70 | Section 9. Subsection (41) is added to section 641.31, |
71 | Florida Statutes, to read: |
72 | 641.31 Health maintenance contracts.-- |
73 | (41) The contract, certificate, or member handbook must |
74 | be accompanied by an identification card that contains, at a |
75 | minimum: |
76 | (a) The name of the organization offering the contract or |
77 | name of the organization administering the contract, whichever |
78 | applies. |
79 | (b) The name of the subscriber. |
80 | (c) A statement that the health plan is a health |
81 | maintenance organization. Only a health plan with a certificate |
82 | of authority issued under this chapter may be identified as a |
83 | health maintenance organization. |
84 | (d) The member identification number, contract number, |
85 | and group number, if applicable. |
86 | (e) A contact phone number or electronic address for |
87 | authorizations. |
88 | (f) A phone number or electronic address by which the |
89 | covered person or hospital, physician, or other person rendering |
90 | services covered by the contract may determine if the plan is |
91 | insured and may obtain a benefits verification in order to |
92 | estimate patient financial responsibility, in compliance with |
93 | privacy rules under the Health Insurance Portability and |
94 | Accountability Act of 1996. |
95 | (g) The national plan identifier, in accordance with the |
96 | compliance date set forth by the United States Department of |
97 | Health and Human Services. |
98 |
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99 | The identification card must present the information in a |
100 | readily identifiable manner or, alternatively, the information |
101 | may be embedded on the card and available through magnetic |
102 | stripe or smart card. The information may also be provided |
103 | through other electronic technology. |
104 |
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105 |
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106 | ========= T I T L E A M E N D M E N T ========= |
107 | On page 1, line 13, after the semicolon, insert: |
108 | amending ss. 627.6402, 627,657, and 641.31, F.S.; requiring |
109 | certain insurance policies or contracts to be accompanied by an |
110 | identification card; providing information requirements for such |
111 | a card; |