Florida Senate - 2009                          SENATOR AMENDMENT
       Bill No. CS for CS for SB 2286
       
       
       
       
       
       
                                Barcode 370760                          
       
                              LEGISLATIVE ACTION                        
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       Senator Baker moved the following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Between lines 3602 and 3603
    4  insert:
    5         Section 68. Paragraphs (d) and (g) of subsection (5) of
    6  section 627.6692, Florida Statutes, are amended to read:
    7         627.6692 Florida Health Insurance Coverage Continuation
    8  Act.—
    9         (5) CONTINUATION OF COVERAGE UNDER GROUP HEALTH PLANS.—
   10         (d)1. A qualified beneficiary must give written notice to
   11  the insurance carrier within 63 days after the occurrence of a
   12  qualifying event. Unless otherwise specified in the notice, a
   13  notice by any qualified beneficiary constitutes notice on behalf
   14  of all qualified beneficiaries. The written notice must inform
   15  the insurance carrier of the occurrence and type of the
   16  qualifying event giving rise to the potential election by a
   17  qualified beneficiary of continuation of coverage under the
   18  group health plan issued by that insurance carrier, except that
   19  in cases where the covered employee has been involuntarily
   20  discharged, the nature of such discharge need not be disclosed.
   21  The written notice must, at a minimum, identify the employer,
   22  the group health plan number, the name and address of all
   23  qualified beneficiaries, and such other information required by
   24  the insurance carrier under the terms of the group health plan
   25  or the commission by rule, to the extent that such information
   26  is known by the qualified beneficiary.
   27         2. A special election period shall be provided for
   28  qualified beneficiaries whose qualifying event was involuntary
   29  termination of employment during the period from September 1,
   30  2008, through February 16, 2009, who did not elect continuation
   31  coverage when it was first offered, or who did elect
   32  continuation coverage but are no longer enrolled. The carrier
   33  that issued the small employer’s group health plan shall provide
   34  notice to individuals eligible for this special continuation
   35  coverage election period informing them of this opportunity. The
   36  notice must be provided by June 15, 2009.
   37         a. Individuals have 30 days after notice is provided to
   38  elect continuation coverage by written notice to the insurer.
   39  The written notice must, at a minimum, identify the employer,
   40  the group health plan number, the name and address of all
   41  qualified beneficiaries, and such other information required by
   42  the insurance carrier under the terms of the group health plan
   43  or the commission by rule, to the extent that such information
   44  is known by the qualified beneficiary.
   45         b. Coverage shall be effective with the first period of
   46  coverage on or after February 17, 2009.
   47         c. For individuals electing continuation coverage during
   48  this election period, the period between the loss of coverage
   49  and beginning of coverage under this election is to be
   50  disregarded for purposes of determining the 63-day periods
   51  referred to in s. 627.6561(6).
   52         3.2. Within 14 days after the receipt of written notice
   53  under subparagraphs subparagraph 1. and 2., the insurance
   54  carrier shall send each qualified beneficiary by certified mail
   55  an election and premium notice form, approved by the office,
   56  which form must provide for the qualified beneficiary’s election
   57  or nonelection of continuation of coverage under the group
   58  health plan and the applicable premium amount due after the
   59  election to continue coverage. This subparagraph does not
   60  require separate mailing of notices to qualified beneficiaries
   61  residing in the same household, but requires a separate mailing
   62  for each separate household.
   63         (g) If an insurance carrier fails to comply with the notice
   64  requirements of subparagraph (d)3.2. and such noncompliance
   65  results in the failure of an eligible qualified beneficiary to
   66  elect continuation under the group health plan, the qualified
   67  beneficiary shall be deemed to have timely elected continuation
   68  of coverage within the election period and shall be covered
   69  under the group health plan at the expense of the noncomplying
   70  insurance carrier. The liability exposure of a noncomplying
   71  insurance carrier under this paragraph shall be limited to that
   72  period which includes the effective date of coverage pursuant to
   73  an affirmative election through the date on which the qualified
   74  beneficiary receives actual notice. This paragraph does not
   75  apply to the extent that the failure of the insurance carrier to
   76  comply with applicable notice requirements was due to
   77  noncompliance by the qualified beneficiary with notice
   78  requirements applicable to the qualified beneficiary.
   79         Section 69. Paragraph (l) is added to subsection (13) of
   80  section 627.6699, Florida Statutes, to read:
   81         627.6699 Employee Health Care Access Act.—
   82         (13) STANDARDS TO ASSURE FAIR MARKETING.—
   83         (l)1. In order to improve the ability of small employers to
   84  obtain information including premium rates for small employer
   85  health benefit plans and to facilitate the application process,
   86  all small employer carriers shall use a uniform employee health
   87  status form. The commission shall adopt rules specifying such
   88  form. The form shall be designed by the Office of Insurance
   89  Regulation, in consultation with small employer carriers, to
   90  permit its use as a written document and through electronic or
   91  other and alternative delivery formats. The form shall include
   92  the following health data elements for all persons to be covered
   93  under the policy that occurred in the 2 years prior to the date
   94  of completion of the form:
   95         a. Any treatment or diagnosis by any licensed medical
   96  practitioner.
   97         b. Any procedure or treatment in a hospital, rehabilitation
   98  program, or surgical center.
   99         c. All current medications prescribed by a licensed
  100  practitioner.
  101         d. Current diagnosis of pregnancy.
  102         e. Current use of any tobacco products.
  103         f. Pending test results.
  104         g. Workers compensation injury or illness.
  105         h. Tests or treatments recommended but not completed.
  106  2.The form shall require the signature of the employee
  107  completing the form. Use of a standardized form shall not
  108  prevent a small employer carrier from obtaining information from
  109  other sources in order to determine the appropriate premium rate
  110  for a small employer
  111  
  112  ================= T I T L E  A M E N D M E N T ================
  113         And the title is amended as follows:
  114         Delete line 297
  115  and insert:
  116         compendium”; amending s. 627.6692, F.S.; providing for
  117         a special election period for continuation of coverage
  118         under group health plans for certain qualified
  119         beneficiaries; providing carrier notification
  120         requirements; providing for effectiveness of such
  121         coverage; providing for disregarding certain periods
  122         for which coverage is not provided; amending s.
  123         627.6699, F.S.; requiring small employer carriers to
  124         use a uniform employee health status form; requiring
  125         the Financial Services Commission to adopt rules;
  126         requiring the Office of Insurance Regulation to design
  127         the form in consultation with small employer carriers;
  128         specifying form requirements; amending s. 651.105,
  129         F.S.; revising the