| 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 |
|
| 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 |
|
| 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; |