Florida Senate - 2011 SB 1922
By Senator Garcia
40-01429B-11 20111922__
1 A bill to be entitled
2 An act relating to health insurance; amending s.
3 408.910, F.S.; defining the terms “corporation’s
4 marketplace,” “health benefit plan,” and “small
5 employer” for purposes of the Florida Health Choices
6 Program; redefining the term “insurer” to include
7 health maintenance organizations; revising the types
8 of employers who are eligible to enroll in the
9 program; authorizing health maintenance organizations
10 to sell health maintenance contracts under the
11 program; requiring the Office of Insurance Regulation
12 to approve risk-bearing products that are sold by
13 vendors; requiring health maintenance contracts to
14 ensure the availability of covered services and
15 benefits to participating individuals for a specified
16 period; requiring Florida Health Choices, Inc., to
17 approve of certain nonrisk-bearing products; requiring
18 the corporation to determine that making the product
19 available through the program is in the interest of
20 eligible individuals and eligible employers; deleting
21 the corporation’s requirement to develop a methodology
22 for evaluating the actuarial soundness of products
23 offered through the program; requiring the program to
24 provide a single, centralized market for the purchase
25 of health insurance, health maintenance contracts, and
26 other health services; requiring the corporation to
27 inform individuals about other health care programs;
28 providing that products sold as part of the program,
29 except for certain risk-bearing products, are not
30 subject to certain licensing requirements; requiring
31 Florida Health Choices, Inc., to phase in the program
32 by accomplishing certain duties regarding the program;
33 requiring the program to provide for the operation of
34 a toll-free hotline; requiring the program to provide
35 for initial, open, and special enrollment periods;
36 requiring the program to enable eligible employers to
37 access coverage for their employees; providing that
38 the provisions that govern the program do not preempt
39 or supersede the authority of the Commissioner of
40 Insurance Regulation to regulate the business of
41 insurance; requiring all insurers and health
42 maintenance organizations to comply with all
43 applicable health insurance laws and orders by the
44 commissioner; amending s. 409.821, F.S.; authorizing
45 personal, identifying information of an applicant or
46 enrollee in the Florida Kidcare program to be
47 disclosed to Florida Health Choices, Inc., for
48 purposes of administering the Florida Health Choices
49 Program; providing an effective date.
50
51 Be It Enacted by the Legislature of the State of Florida:
52
53 Section 1. Section 408.910, Florida Statutes, is amended to
54 read:
55 408.910 Florida Health Choices Program.—
56 (1) LEGISLATIVE INTENT.—The Legislature finds that a
57 significant number of the residents of this state do not have
58 adequate access to affordable, quality health care. The
59 Legislature further finds that increasing access to affordable,
60 quality health care can be best accomplished by establishing a
61 competitive market for purchasing health insurance and health
62 services. It is therefore the intent of the Legislature to
63 create the Florida Health Choices Program to:
64 (a) Expand opportunities for Floridians to purchase
65 affordable health insurance and health services.
66 (b) Preserve the benefits of employment-sponsored insurance
67 while easing the administrative burden for employers who offer
68 these benefits.
69 (c) Enable individual choice in both the manner and amount
70 of health care purchased.
71 (d) Provide for the purchase of individual, portable health
72 care coverage.
73 (e) Disseminate information to consumers on the price and
74 quality of health services.
75 (f) Sponsor a competitive market that stimulates product
76 innovation, quality improvement, and efficiency in the
77 production and delivery of health services.
78 (2) DEFINITIONS.—As used in this section, the term:
79 (a) “Corporation” means the Florida Health Choices, Inc.,
80 established under this section.
81 (b) “Corporation’s marketplace” means the single,
82 centralized market established by the program which facilitates
83 the purchase of products certified by the corporation.
84 (c) “Health benefit plan” means any hospital or medical
85 policy or certificate, hospital or medical service plan
86 contract, or health maintenance organization subscriber
87 contract.
88 (d)(b) “Health insurance agent” means an agent licensed
89 under part IV of chapter 626.
90 (e)(c) “Insurer” means an entity licensed under chapter 624
91 which offers an individual health insurance policy or a group
92 health insurance policy, a preferred provider organization as
93 defined in s. 627.6471, or an exclusive provider organization as
94 defined in s. 627.6472, or a health maintenance organization as
95 defined in chapter 641.
96 (f)(d) “Program” means the Florida Health Choices Program
97 established by this section.
98 (g) “Small employer” means an employer that employed an
99 average of not more than 50 employees during the preceding
100 calendar year in the following manner:
101 1. All employees are counted, including part-time employees
102 and employees who are not eligible for coverage through the
103 employer;
104 2. If an employer was not in existence throughout the
105 preceding calendar year, the determination of whether the
106 employer is a small employer is based on the average number of
107 employees that are reasonably expected to be employed on a
108 business day in the current calendar year; and
109 3. An employer that makes enrollment in health benefit
110 plans available to its employees through the program and would
111 cease to be a small employer by reason of an increase in the
112 number of its employees shall continue to be treated as a small
113 employer for purposes of this section as long as it continuously
114 makes enrollment through the program available to its employees.
115 (3) PROGRAM PURPOSE AND COMPONENTS.—The Florida Health
116 Choices Program is created as a single, centralized market for
117 the sale and purchase of various products that enable
118 individuals to pay for health care. These products include, but
119 are not limited to, health insurance plans, health maintenance
120 organization plans, prepaid services, service contracts, and
121 flexible spending accounts. The components of the program
122 include:
123 (a) Enrollment of employers.
124 (b) Administrative services for participating employers,
125 including:
126 1. Assistance in seeking federal approval of cafeteria
127 plans.
128 2. Collection of premiums and other payments.
129 3. Management of individual benefit accounts.
130 4. Distribution of premiums to insurers and payments to
131 other eligible vendors.
132 5. Assistance for participants in complying with reporting
133 requirements.
134 (c) Services to individual participants, including:
135 1. Information about available products and participating
136 vendors.
137 2. Assistance with assessing the benefits and limits of
138 each product, including information necessary to distinguish
139 between policies offering creditable coverage and other products
140 available through the program.
141 3. Account information to assist individual participants
142 with managing available resources.
143 4. Services that promote healthy behaviors.
144 (d) Recruitment of vendors, including insurers, health
145 maintenance organizations, prepaid clinic service providers,
146 provider service networks, and other providers.
147 (e) Certification of vendors to ensure capability,
148 reliability, and validity of offerings.
149 (f) Collection of data, monitoring, assessment, and
150 reporting of vendor performance.
151 (g) Information services for individuals and employers.
152 (h) Program evaluation.
153 (4) ELIGIBILITY AND PARTICIPATION.—Participation in the
154 program is voluntary and shall be available to employers,
155 individuals, vendors, and health insurance agents as specified
156 in this subsection.
157 (a) Employers eligible to enroll in the program include:
158 1. Employers that meet the criteria established by the
159 corporation and elect to make their employees eligible for one
160 or more health plans offered through the program have 1 to 50
161 employees.
162 2. Fiscally constrained counties described in s. 218.67.
163 3. Municipalities having populations of fewer than 50,000
164 residents.
165 4. School districts in fiscally constrained counties.
166 5. Statutory rural hospitals.
167 (b) Individuals eligible to participate in the program
168 include:
169 1. Individual employees of enrolled employers.
170 2. State employees not eligible for state employee health
171 benefits.
172 3. State retirees.
173 4. Medicaid reform participants who select the opt-out
174 provision of reform.
175 5. Statutory rural hospitals.
176 (c) Employers who choose to participate in the program may
177 enroll by complying with the procedures established by the
178 corporation. The procedures must include, but are not limited
179 to:
180 1. Submission of required information.
181 2. Compliance with federal tax requirements for the
182 establishment of a cafeteria plan, pursuant to s. 125 of the
183 Internal Revenue Code, including designation of the employer’s
184 plan as a premium payment plan, a salary reduction plan that has
185 flexible spending arrangements, or a salary reduction plan that
186 has a premium payment and flexible spending arrangements.
187 3. Determination of the employer’s contribution, if any,
188 per employee, provided that such contribution is equal for each
189 eligible employee.
190 4. Establishment of payroll deduction procedures, subject
191 to the agreement of each individual employee who voluntarily
192 participates in the program.
193 5. Designation of the corporation as the third-party
194 administrator for the employer’s health benefit plan.
195 6. Identification of eligible employees.
196 7. Arrangement for periodic payments.
197 8. Employer notification to employees of the intent to
198 transfer from an existing employee health plan to the program at
199 least 90 days before the transition.
200 (d) Eligible vendors and the products and services that the
201 vendors are permitted to sell are as follows:
202 1. Insurers licensed under chapter 624 may sell health
203 insurance policies, limited benefit policies, other risk-bearing
204 coverage, and other products or services.
205 2. Health maintenance organizations licensed under part I
206 of chapter 641 may sell health maintenance contracts insurance
207 policies, limited benefit policies, other risk-bearing products,
208 and other products or services.
209 3. Prepaid health clinic service providers licensed under
210 part II of chapter 641 may sell prepaid service contracts and
211 other arrangements for a specified amount and type of health
212 services or treatments.
213 4. Health care providers, including hospitals and other
214 licensed health facilities, health care clinics, licensed health
215 professionals, pharmacies, and other licensed health care
216 providers, may sell service contracts and arrangements for a
217 specified amount and type of health services or treatments.
218 5. Provider organizations, including service networks,
219 group practices, professional associations, and other
220 incorporated organizations of providers, may sell service
221 contracts and arrangements for a specified amount and type of
222 health services or treatments.
223 6. Corporate entities providing specific health services in
224 accordance with applicable state law may sell service contracts
225 and arrangements for a specified amount and type of health
226 services or treatments.
227
228 A vendor described in subparagraphs 3.-6. may not sell products
229 that provide risk-bearing coverage unless that vendor is
230 authorized under a certificate of authority issued by the Office
231 of Insurance Regulation under the provisions of the Florida
232 Insurance Code. Otherwise eligible vendors may be excluded from
233 participating in the program for deceptive or predatory
234 practices, financial insolvency, or failure to comply with the
235 terms of the participation agreement or other standards set by
236 the corporation. The Office of Insurance Regulation shall
237 approve the risk-bearing products that are available under
238 subparagraph 1. or subparagraph 2.
239 (e) Eligible individuals may voluntarily continue
240 participation in the program regardless of subsequent changes in
241 job status or Medicaid eligibility. Individuals who join the
242 program may participate by complying with the procedures
243 established by the corporation. These procedures must include,
244 but are not limited to:
245 1. Submission of required information.
246 2. Authorization for payroll deduction.
247 3. Compliance with federal tax requirements.
248 4. Arrangements for payment in the event of job changes.
249 5. Selection of products and services.
250 (f) Vendors who choose to participate in the program may
251 enroll by complying with the procedures established by the
252 corporation. These procedures must include, but are not limited
253 to:
254 1. Submission of required information, including a complete
255 description of the coverage, services, provider network, payment
256 restrictions, and other requirements of each product offered
257 through the program.
258 2. Execution of an agreement to make all risk-bearing
259 products offered through the program guaranteed-issue policies,
260 subject to preexisting condition exclusions established by the
261 corporation.
262 3. Execution of an agreement that prohibits refusal to sell
263 any offered non-risk-bearing product to a participant who elects
264 to buy it.
265 4. Establishment of product prices based on age, gender,
266 and location of the individual participant.
267 5. Arrangements for receiving payment for enrolled
268 participants.
269 6. Participation in ongoing reporting processes established
270 by the corporation.
271 7. Compliance with grievance procedures established by the
272 corporation.
273 (g) Health insurance agents licensed under part IV of
274 chapter 626 are eligible to voluntarily participate as buyers’
275 representatives. A buyer’s representative acts on behalf of an
276 individual purchasing health insurance and health services
277 through the program by providing information about products and
278 services available through the program and assisting the
279 individual with both the decision and the procedure of selecting
280 specific products. Serving as a buyer’s representative does not
281 constitute a conflict of interest with continuing
282 responsibilities as a health insurance agent if the relationship
283 between each agent and any participating vendor is disclosed
284 before advising an individual participant about the products and
285 services available through the program. In order to participate,
286 a health insurance agent shall comply with the procedures
287 established by the corporation, including:
288 1. Completion of training requirements.
289 2. Execution of a participation agreement specifying the
290 terms and conditions of participation.
291 3. Disclosure of any appointments to solicit insurance or
292 procure applications for vendors participating in the program.
293 4. Arrangements to receive payment from the corporation for
294 services as a buyer’s representative.
295 (5) PRODUCTS.—
296 (a) The products that may be made available for purchase
297 through the program include, but are not limited to:
298 1. Health insurance policies.
299 2. Limited benefit plans.
300 3. Prepaid clinic services.
301 4. Service contracts.
302 5. Arrangements for purchase of specific amounts and types
303 of health services and treatments.
304 6. Flexible spending accounts.
305 7. Health maintenance contracts.
306 (b) Health insurance policies, health maintenance
307 contracts, limited benefit plans, prepaid service contracts, and
308 other contracts for services must ensure the availability of
309 covered services and benefits to participating individuals for
310 at least 1 full enrollment year.
311 (c) Products may be offered for multiyear periods provided
312 the price of the product is specified for the entire period or
313 for each separately priced segment of the policy or contract.
314 (d) The corporation shall provide a disclosure form for
315 consumers to acknowledge their understanding of the nature of,
316 and any limitations to, the benefits provided by the products
317 and services being purchased by the consumer.
318 (e) Any nonrisk-bearing products other than those set forth
319 in paragraph (a) must be approved by the corporation.
320 (f) The corporation shall determine that making the health
321 benefit plan available through the program is in the interest of
322 eligible individuals and eligible employers in the state.
323 (6) PRICING.—Prices for the products sold through the
324 program must be transparent to participants and established by
325 the vendors based on age, gender, and location of participants.
326 The corporation shall develop a methodology for evaluating the
327 actuarial soundness of products offered through the program. The
328 methodology shall be reviewed by the Office of Insurance
329 Regulation prior to use by the corporation. Before making the
330 product available to individual participants, the corporation
331 shall use the methodology to compare the expected health care
332 costs for the covered services and benefits to the vendor’s
333 price for that coverage. The results shall be reported to
334 individuals participating in the program. Once established, the
335 price set by the vendor must remain in force for at least 1 year
336 and may only be redetermined by the vendor at the next annual
337 enrollment period. The corporation shall annually assess a
338 surcharge for each premium or price set by a participating
339 vendor. The surcharge may not be more than 2.5 percent of the
340 price and shall be used to generate funding for administrative
341 services provided by the corporation and payments to buyers’
342 representatives.
343 (7) THE MARKETPLACE PROCESS EXCHANGE PROCESS.—The program
344 shall provide a single, centralized market for the purchase of
345 health insurance, health maintenance contracts, and other health
346 services. Purchases may be made by participating individuals
347 over the Internet or through the services of a participating
348 health insurance agent. Information about each product and
349 service available through the program shall be made available
350 through printed material and an interactive Internet website. A
351 participant needing personal assistance to select products and
352 services shall be referred to a participating agent in his or
353 her area.
354 (a) Participation in the program may begin at any time
355 during a year after the employer completes enrollment and meets
356 the requirements specified by the corporation pursuant to
357 paragraph (4)(c).
358 (b) Initial selection of products and services must be made
359 by an individual participant within 60 days after the date the
360 individual’s employer qualified for participation. An individual
361 who fails to enroll in products and services by the end of this
362 period is limited to participation in flexible spending account
363 services until the next annual enrollment period.
364 (c) Initial enrollment periods for each product selected by
365 an individual participant must last at least 12 months, unless
366 the individual participant specifically agrees to a different
367 enrollment period.
368 (d) If an individual has selected one or more products and
369 enrolled in those products for at least 12 months or any other
370 period specifically agreed to by the individual participant,
371 changes in selected products and services may only be made
372 during the annual enrollment period established by the
373 corporation.
374 (e) The limits established in paragraphs (b)-(d) apply to
375 any risk-bearing product that promises future payment or
376 coverage for a variable amount of benefits or services. The
377 limits do not apply to initiation of flexible spending plans if
378 those plans are not associated with specific high-deductible
379 insurance policies or the use of spending accounts for any
380 products offering individual participants specific amounts and
381 types of health services and treatments at a contracted price.
382 (8) CONSUMER INFORMATION.—The corporation shall establish a
383 secure website to facilitate the purchase of products and
384 services by participating individuals. The website must provide
385 information about each product or service available through the
386 program.
387 (a) Before Prior to making a risk-bearing product available
388 through the program, the corporation shall provide information
389 regarding the product to the Office of Insurance Regulation. The
390 office shall review the product information and provide consumer
391 information and a recommendation on the risk-bearing product to
392 the corporation within 30 days after receiving the product
393 information.
394 1. Upon receiving a recommendation that a risk-bearing
395 product should be made available in the corporation’s
396 marketplace, the corporation may include the product on its
397 website. If the consumer information and recommendation is not
398 received within 30 days, the corporation may make the risk
399 bearing product available on the website without consumer
400 information from the office.
401 2. Upon receiving a recommendation that a risk-bearing
402 product should not be made available in the corporation’s
403 marketplace, the risk-bearing product may be included as an
404 eligible product in the corporation’s marketplace and on its
405 website only if a majority of the board of directors vote to
406 include the product.
407 (b) If a risk-bearing product is made available on the
408 website, the corporation shall make the consumer information and
409 office recommendation available on the website and in print
410 format. The corporation shall make late-submitted and ongoing
411 updates to consumer information available on the website and in
412 print format.
413 (c) The corporation shall inform individuals about other
414 public health care programs.
415 (9) RISK POOLING.—The program shall use utilize methods for
416 pooling the risk of individual participants and preventing
417 selection bias. These methods shall include, but are not limited
418 to, a postenrollment risk adjustment of the premium payments to
419 the vendors. The corporation shall establish a methodology for
420 assessing the risk of enrolled individual participants based on
421 data reported by the vendors about their enrollees. Monthly
422 distributions of payments to the vendors shall be adjusted based
423 on the assessed relative risk profile of the enrollees in each
424 risk-bearing product for the most recent period for which data
425 is available.
426 (10) EXEMPTIONS.—
427 (a) Products, other than those risk-bearing products set
428 forth in subparagraphs (4)(d)1. and 2., Policies sold as part of
429 the program are not subject to the licensing requirements of the
430 Florida Insurance Code, chapter 641, or the mandated offerings
431 or coverages established in part VI of chapter 627 and chapter
432 641.
433 (b) The corporation may act as an administrator as defined
434 in s. 626.88 but is not required to be certified pursuant to
435 part VII of chapter 626. However, a third party administrator
436 used by the corporation must be certified under part VII of
437 chapter 626.
438 (11) CORPORATION.—There is created the Florida Health
439 Choices, Inc., which shall be registered, incorporated,
440 organized, and operated in compliance with part III of chapter
441 112 and chapters 119, 286, and 617. The purpose of the
442 corporation is to administer the program created in this section
443 and to conduct such other business as may further the
444 administration of the program.
445 (a) The corporation shall be governed by a 15-member board
446 of directors consisting of:
447 1. Three ex officio, nonvoting members to include:
448 a. The Secretary of Health Care Administration or a
449 designee with expertise in health care services.
450 b. The Secretary of Management Services or a designee with
451 expertise in state employee benefits.
452 c. The commissioner of the Office of Insurance Regulation
453 or a designee with expertise in insurance regulation.
454 2. Four members appointed by and serving at the pleasure of
455 the Governor.
456 3. Four members appointed by and serving at the pleasure of
457 the President of the Senate.
458 4. Four members appointed by and serving at the pleasure of
459 the Speaker of the House of Representatives.
460 5. Board members may not include insurers, health insurance
461 agents or brokers, health care providers, health maintenance
462 organizations, prepaid service providers, or any other entity,
463 affiliate or subsidiary of eligible vendors.
464 (b) Members shall be appointed for terms of up to 3 years.
465 Any member is eligible for reappointment. A vacancy on the board
466 shall be filled for the unexpired portion of the term in the
467 same manner as the original appointment.
468 (c) The board shall select a chief executive officer for
469 the corporation who shall be responsible for the selection of
470 such other staff as may be authorized by the corporation’s
471 operating budget as adopted by the board.
472 (d) Board members are entitled to receive, from funds of
473 the corporation, reimbursement for per diem and travel expenses
474 as provided by s. 112.061. No other compensation is authorized.
475 (e) There is no liability on the part of, and no cause of
476 action shall arise against, any member of the board or its
477 employees or agents for any action taken by them in the
478 performance of their powers and duties under this section.
479 (f) The board shall develop and adopt bylaws and other
480 corporate procedures as necessary for the operation of the
481 corporation and carrying out the purposes of this section. The
482 bylaws shall:
483 1. Specify procedures for selection of officers and
484 qualifications for reappointment, provided that no board member
485 shall serve more than 9 consecutive years.
486 2. Require an annual membership meeting that provides an
487 opportunity for input and interaction with individual
488 participants in the program.
489 3. Specify policies and procedures regarding conflicts of
490 interest, including the provisions of part III of chapter 112,
491 which prohibit a member from participating in any decision that
492 would inure to the benefit of the member or the organization
493 that employs the member. The policies and procedures shall also
494 require public disclosure of the interest that prevents the
495 member from participating in a decision on a particular matter.
496 (g) The corporation may exercise all powers granted to it
497 under chapter 617 necessary to carry out the purposes of this
498 section, including, but not limited to, the power to receive and
499 accept grants, loans, or advances of funds from any public or
500 private agency and to receive and accept from any source
501 contributions of money, property, labor, or any other thing of
502 value to be held, used, and applied for the purposes of this
503 section.
504 (h) The corporation may establish technical advisory panels
505 consisting of interested parties, including consumers, health
506 care providers, individuals with expertise in insurance
507 regulation, and insurers.
508 (i) The corporation shall phase in the program to:
509 1. Determine eligibility of employers, vendors,
510 individuals, and agents in accordance with subsection (4).
511 2. Establish procedures necessary for the operation of the
512 program, including, but not limited to, procedures for
513 application, enrollment, risk assessment, risk adjustment, plan
514 administration, performance monitoring, and consumer education.
515 3. Arrange for collection of contributions from
516 participating employers and individuals to pay for:
517 a. Products purchased through the corporation’s
518 marketplace; or
519 b. Other public health care programs approved by the
520 corporation.
521 4. Arrange for payment of premiums and other appropriate
522 disbursements based on the selections of products and services
523 by the individual participants.
524 5. Establish criteria for disenrollment of participating
525 individuals based on failure to pay the individual’s share of
526 any contribution required to maintain enrollment in selected
527 products.
528 6. Establish criteria for exclusion of vendors pursuant to
529 paragraph (4)(d).
530 7. Develop and implement a plan for promoting public
531 awareness of and participation in the program.
532 8. Secure staff and consultant services necessary to the
533 operation of the program.
534 9. Establish policies and procedures regarding
535 participation in the program for individuals, vendors, health
536 insurance agents, and employers.
537 10. Provide for the operation of a toll-free hotline to
538 respond to requests for assistance. Develop a plan, in
539 coordination with the Department of Revenue, to establish tax
540 credits or refunds for employers that participate in the
541 program. The corporation shall submit the plan to the Governor,
542 the President of the Senate, and the Speaker of the House of
543 Representatives by January 1, 2009.
544 11. Provide for initial, open, and special enrollment
545 periods.
546 12. Enable an eligible employer to access coverage for its
547 employees which may enable any eligible employer to select one
548 or more products available through the program so that any of
549 its eligible employees may enroll.
550 (12) REPORT.—Beginning in the 2009-2010 fiscal year, submit
551 by February 1 an annual report to the Governor, the President of
552 the Senate, and the Speaker of the House of Representatives
553 documenting the corporation’s activities in compliance with the
554 duties delineated in this section.
555 (13) PROGRAM INTEGRITY.—To ensure program integrity and to
556 safeguard the financial transactions made under the auspices of
557 the program, the corporation is authorized to establish
558 qualifying criteria and certification procedures for vendors,
559 require performance bonds or other guarantees of ability to
560 complete contractual obligations, monitor the performance of
561 vendors, and enforce the agreements of the program through
562 financial penalty or disqualification from the program.
563 (14) RELATION TO OTHER LAWS.—This section or any action
564 taken by the corporation does not preempt or supersede the
565 authority of the commissioner to regulate the business of
566 insurance within the state. Except as expressly provided to the
567 contrary in this section, an insurer or health maintenance
568 organization offering health benefit plans in this state must
569 comply fully with all applicable health insurance laws in this
570 state and orders issued by the commissioner.
571 Section 2. Subsection (2) of section 409.821, Florida
572 Statutes, is amended to read:
573 409.821 Florida Kidcare program public records exemption.—
574 (2)(a) Upon request, such information shall be disclosed
575 to:
576 1. Another governmental entity in the performance of its
577 official duties and responsibilities;
578 2. The Department of Revenue for purposes of administering
579 the state Title IV-D program; or
580 3. Any person who has the written consent of the program
581 applicant; or.
582 4. The Florida Health Choices, Inc., for purposes of
583 administering the Florida Health Choices Program authorized in
584 s. 408.910.
585 (b) This section does not prohibit an enrollee’s legal
586 guardian from obtaining confirmation of coverage, dates of
587 coverage, the name of the enrollee’s health plan, and the amount
588 of premium being paid.
589 Section 3. This act shall take effect July 1, 2011.