HB 177

1	A bill to be entitled
2	An act relating to health insurance; amending ss. 627.642,
3	627.657, and 641.31, F.S.; requiring an identification
4	card containing specified information to be given to
5	insureds under health benefit plans and group health
6	insurance policies and persons having health care services
7	through health maintenance contracts; providing
8	applicability; providing an effective date.
9
10	Be It Enacted by the Legislature of the State of Florida:
11
12	Section 1.  Subsection (3) is added to section 627.642,
13	Florida Statutes, to read:
14	627.642  Outline of coverage.--
15	(3)  In addition to the outline of coverage, a policy as
16	specified in s. 627.6699(3)(k) must be accompanied by an
17	identification card that contains, at a minimum:
18	(a)  The name of the organization issuing the policy or the
19	name of the organization administering the policy, whichever
20	applies.
21	(b)  The name of the contract holder.
22	(c)  The type of plan only if the plan is filed in the
23	state, an indication that the plan is self-funded, or the name
24	of the network.
25	(d)  The member identification number, contract number, and
26	policy or group number, if applicable.
27	(e)  A contact phone number or electronic address for
28	authorizations.
29	(f)  A phone number or electronic address whereby the
30	covered person or hospital, physician, or other person rendering
31	services covered by the policy may determine if the plan is
32	insured and may obtain a benefits verification in order to
33	estimate patient financial responsibility, in compliance with
34	privacy rules under the Health Insurance Portability and
35	Accountability Act.
36	(g)  The national plan identifier, in accordance with the
37	compliance date set forth by the federal Department of Health
38	and Human Services.
39
40	The identification card must present the information in a
41	readily identifiable manner or, alternatively, the information
42	may be embedded on the card and available through magnetic
43	stripe or smart card. The information may also be provided
44	through other electronic technology.
45	Section 2.  Present subsection (2) of section 627.657,
46	Florida Statutes, is renumbered as subsection (3), and a new
47	subsection (2) is added to that section, to read:
48	627.657  Provisions of group health insurance policies.--
49	(2)  The medical policy as specified in s. 627.6699(3)(k)
50	must be accompanied by an identification card that contains, at
51	a minimum:
52	(a)  The name of the organization issuing the policy or
53	name of the organization administering the policy, whichever
54	applies.
55	(b)  The name of the certificateholder.
56	(c)  The type of plan only if the plan is filed in the
57	state, an indication that the plan is self-funded, or the name
58	of the network.
59	(d)  The member identification number, contract number, and
60	policy or group number, if applicable.
61	(e)  A contact phone number or electronic address for
62	authorizations.
63	(f)  A phone number or electronic address whereby the
64	covered person or hospital, physician, or other person rendering
65	services covered by the policy may determine if the plan is
66	insured and may obtain a benefits verification in order to
67	estimate patient financial responsibility, in compliance with
68	privacy rules under the Health Insurance Portability and
69	Accountability Act.
70	(g)  The national plan identifier, in accordance with the
71	compliance date set forth by the federal Department of Health
72	and Human Services.
73
74	The identification card must present the information in a
75	readily identifiable manner or, alternatively, the information
76	may be embedded on the card and available through magnetic
77	stripe or smart card. The information may also be provided
78	through other electronic technology.
79	Section 3.  Subsection (41) is added to  section 641.31,
80	Florida Statutes, to read:
81	641.31  Health maintenance contracts.--
82	(41)  The contract, certificate, or member handbook must be
83	accompanied by an identification card that contains, at a
84	minimum:
85	(a)  The name of the organization offering the contract or
86	name of the organization administering the contract, whichever
87	applies.
88	(b)  The name of the subscriber.
89	(c)  A statement that the health plan is a health
90	maintenance organization. Only a health plan with a certificate
91	of authority issued under this chapter may be identified as a
92	health maintenance organization.
93	(d)  The member identification number, contract number, and
94	group number, if applicable.
95	(e)  A contact phone number or electronic address for
96	authorizations.
97	(f)  A phone number or electronic address whereby the
98	covered person or hospital, physician, or other person rendering
99	services covered by the contract may determine if the plan is
100	insured and may obtain a benefits verification in order to
101	estimate patient financial responsibility, in compliance with
102	privacy rules under the Health Insurance Portability and
103	Accountability Act.
104	(g)  The national plan identifier, in accordance with the
105	compliance date set forth by the federal Department of Health
106	and Human Services.
107
108	The identification card must present the information in a
109	readily identifiable manner or, alternatively, the information
110	may be embedded on the card and available through magnetic
111	stripe or smart card. The information may also be provided
112	through other electronic technology.
113	Section 4.  This act shall take effect January 1, 2008, and
114	shall apply to identification cards issued for policies or
115	certificates issued or renewed on or after that date.

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