Senate Bill sb0238

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    Florida Senate - 2007                                   SB 238

    By Senator Lynn





    7-253-07

  1                      A bill to be entitled

  2         An act relating to health insurance; amending

  3         s. 627.6562, F.S., relating to dependent

  4         coverage; amending the criteria governing

  5         mandatory coverage of a dependent child under

  6         group, blanket, or franchise health insurance

  7         policies covering residents of this state;

  8         providing for a dependent child to make a

  9         written election to extend coverage or restore

10         previously terminated coverage; providing

11         guidelines for extended coverage; providing

12         limitations on additional premiums; providing

13         duties of the Office of Insurance Regulation;

14         requiring that notice regarding coverage for a

15         dependent child be provided to covered persons;

16         providing applicability; providing an effective

17         date.

18  

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

20  

21         Section 1.  Section 627.6562, Florida Statutes, is

22  amended to read:

23         627.6562  Dependent coverage.--

24         (1)  If an insurer offers under a group, blanket, or

25  franchise health insurance policy coverage that insures

26  dependent children of the policyholder or certificateholder,

27  the policy must insure a dependent child of the policyholder

28  or certificateholder at least until the end of the calendar

29  year in which the child reaches the age of 25, if the child

30  meets all of the following:

31  

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    Florida Senate - 2007                                   SB 238
    7-253-07




 1         (a)  Is unmarried and does not have a dependent of his

 2  or her own; The child is dependent upon the policyholder or

 3  certificateholder for support.

 4         (b)  Is a resident of this state or The child is living

 5  in the household of the policyholder or certificateholder, or

 6  the child is enrolled as a full-time or part-time student;

 7  and.

 8         (c)  Is not actually provided coverage as a named

 9  subscriber, insured, enrollee, or covered person under any

10  other group, blanket, or franchise health insurance policy or

11  individual health benefits plan or entitled to benefits under

12  Title XVIII of the Social Security Act, Pub. L. No. 89-97 (42

13  U.S.C. s. 1395 et seq.).

14         (2)  Nothing in This section does not:

15         (a)  Affect or preempt affects or preempts an insurer's

16  right to medically underwrite or charge the appropriate

17  premium.

18         (b)  Require coverage for services provided before July

19  1, 2007, to a dependent.

20         (c)  Require that an employer pay all or part of the

21  cost of coverage provided for a dependent under this section.

22         (3)(a)  A dependent child who is covered by a covered

23  person's plan which coverage under the plan terminates at a

24  specific age before the date provided under subsection (1),

25  may make a written election for coverage as a dependent

26  pursuant to this section until the end of the calendar year in

27  which the child reaches the age of 25:

28         1.  Within 30 days before the termination of coverage

29  at the age specified in the plan;

30         2.  Within 30 days after meeting the requirements for

31  coverage as a dependent child as set forth in subsection (1),

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    Florida Senate - 2007                                   SB 238
    7-253-07




 1  when coverage for the dependent under the plan has previously

 2  terminated; or

 3         3.  During a 30-day period in each year following the

 4  year coverage terminates at the age specified in the plan,

 5  which period shall begin on the anniversary of the date on

 6  which the dependent child's coverage terminated, if the

 7  dependent meets the requirements set forth in subsection (1)

 8  during the 30-day period.

 9         (b)  Until July 1, 2008, a dependent who qualifies for

10  coverage under subsection (1) but whose coverage as a

11  dependent under a covered person's plan terminated under the

12  terms of the plan before July 1, 2007, may make a written

13  election to reinstate coverage under that plan as a dependent

14  child pursuant to this section.

15         (4)(a)  Coverage for a dependent child who makes a

16  written election for coverage pursuant to paragraph (3)(a)

17  must be identical to the coverage provided to that dependent

18  before the termination of coverage under the plan. If coverage

19  is modified under the plan for any similarly situated

20  dependent children before the termination of coverage for the

21  dependent occurred, the coverage must also be modified in the

22  same manner for the dependent child.

23         (b)  Coverage for a dependent child who makes a written

24  election for coverage under paragraph (3)(a) may not be

25  conditioned upon or discriminate on the basis of lack of

26  evidence of insurability.

27         (5)(a)  The covered person's plan may require the

28  payment of a premium by the covered person or dependent child,

29  as appropriate, subject to the approval of the Office of

30  Insurance Regulation, for any period of coverage relating to a

31  dependent's written election for coverage pursuant to

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    Florida Senate - 2007                                   SB 238
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 1  paragraph (3)(a). The premium may not exceed 102 percent of

 2  the applicable portion of the premium previously paid for that

 3  dependent's coverage under the plan before the termination of

 4  coverage under the plan.

 5         (b)  The applicable portion of the premium previously

 6  paid for the dependent's coverage under the plan shall be

 7  determined pursuant to rules adopted by the office, based upon

 8  the difference between the plan's rating tiers for adult and

 9  dependent coverage or family coverage, as appropriate, and

10  single coverage, or based upon any other formula or dependent

11  rating tier that the office considers appropriate and that

12  provides a substantially similar result.

13         (6)  Notice regarding coverage for a dependent child as

14  provided under this section must be provided to a covered

15  person:

16         (a)  In the certificate of coverage prepared for

17  covered persons by the carrier on or about the date of

18  commencement of coverage; and

19         (b)  By the covered person's employer:

20         1.  On or before the coverage of a covered person's

21  dependent child terminates at the age specified in the plan;

22         2.  At the time coverage of the dependent child is no

23  longer provided under this section because the dependent child

24  does not meet the qualifications set forth in subsection (1),

25  except that this notice is not required when a dependent child

26  no longer qualifies because of age or because of having a

27  dependent of his or her own;

28         3.  Before the 30-day period in each year following the

29  year coverage terminates at the age specified in the plan, so

30  as to permit a dependent child to make a written election for

31  coverage under paragraph (3)(a); and

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    Florida Senate - 2007                                   SB 238
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 1         4.  Immediately after July 1, 2007, with respect to

 2  information concerning a dependent child's opportunity, until

 3  July 1, 2008, to make a written election to reinstate coverage

 4  under a plan specified in paragraph (3)(b).

 5         (7)  This section applies to all group, blanket, or

 6  franchise health insurance policies covering residents of this

 7  state, including, but not limited to, policies in which the

 8  carrier has reserved the right to change the premium.

 9         Section 2.  This act shall take effect July 1, 2007.

10  

11            *****************************************

12                          SENATE SUMMARY

13    Revises the criteria governing mandatory coverage of a
      dependent child under group, blanket, or franchise health
14    insurance policies covering residents of this state.
      Provides for a dependent child to make a written election
15    to extend coverage or restore previously terminated
      coverage. Provides guidelines for extended coverage.
16    Provides limitations on additional premiums. Provides
      duties of the Office of Insurance Regulation. Requires
17    that notice regarding coverage for a dependent child be
      provided to covered persons. Provides applicability.
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