HB 4139

1	A bill to be entitled
2	An act relating to the repeal of health insurance
3	provisions; amending s. 627.64872, F.S.; deleting a
4	requirement that the Florida Health Insurance Plan's
5	board of directors annually report to the Governor and
6	the Legislature concerning the Florida Health
7	Insurance Plan; deleting redundant language making the
8	implementation of the plan by the board contingent
9	upon certain appropriations; amending s. 627.6699,
10	F.S.; deleting a requirement that the Office of
11	Insurance Regulation of the Department of Financial
12	Services annually report to the Governor and the
13	Legislature concerning the Small Employers Access
14	Program; providing an effective date.
15
16	Be It Enacted by the Legislature of the State of Florida:
17
18	Section 1.  Subsections (7) through (20) of section
19	627.64872, Florida Statutes, are renumbered as subsections (6)
20	through (19), respectively, and paragraph (b) of subsection (4),
21	present subsection (6), and paragraph (a) of present subsection
22	(20) of that section are amended to read:
23	627.64872  Florida Health Insurance Plan.-
24	(4)  PLAN OF OPERATION.-The plan of operation shall:
25	(b)  Establish procedures for selecting an administrator in
26	accordance with subsection (10) (11).
27	(6)  ANNUAL REPORT.-The board shall annually submit to the
28	Governor, the President of the Senate, and the Speaker of the
29	House of Representatives a report that includes an independent
30	actuarial study to determine, without limitation, the following:
31	(a)  The effect the creation of the plan has on the small
32	group and individual insurance market, specifically on the
33	premiums paid by insureds, including an estimate of the total
34	anticipated aggregate savings for all small employers in the
35	state.
36	(b)  The actual number of individuals covered at the
37	current funding and benefit level, the projected number of
38	individuals that may seek coverage in the forthcoming fiscal
39	year, and the projected funding needed to cover anticipated
40	increase or decrease in plan participation.
41	(c)  A recommendation as to the best source of funding for
42	the anticipated deficits of the pool.
43	(d)  A summary of the activities of the plan in the
44	preceding calendar year, including the net written and earned
45	premiums, plan enrollment, the expense of administration, and
46	the paid and incurred losses.
47	(e)  A review of the operation of the plan as to whether
48	the plan has met the intent of this section.
49
50	The board may not implement the Florida Health Insurance Plan
51	until funds are appropriated for startup costs and any projected
52	deficits; however, the board may complete the actuarial study
53	authorized in this subsection.
54	(19)(20)  COMBINING MEMBERSHIP OF THE FLORIDA COMPREHENSIVE
55	HEALTH ASSOCIATION; ASSESSMENT.-
56	(a)1.  Upon implementation of the Florida Health Insurance
57	Plan, the Florida Comprehensive Health Association, as specified
58	in s. 627.6488, is abolished as a separate nonprofit entity and
59	shall be subsumed under the board of directors of the Florida
60	Health Insurance Plan. All individuals actively enrolled in the
61	Florida Comprehensive Health Association shall be enrolled in
62	the plan subject to its rules and requirements, except as
63	otherwise specified in this section. Maximum lifetime benefits
64	paid to an individual in the plan shall not exceed the amount
65	established under subsection (15) (16), and benefits previously
66	paid for any individual by the Florida Comprehensive Health
67	Association shall be used in the determination of total lifetime
68	benefits paid under the plan.
69	2.  All persons enrolled in the Florida Comprehensive
70	Health Association upon implementation of the Florida Health
71	Insurance Plan are only eligible for the benefits authorized
72	under subsection (15) (16). Persons identified by this section
73	shall convert to the benefits authorized under subsection (15)
74	(16) no later than January 1, 2005.
75	3.  Except as otherwise provided in this section, the
76	administration of the coverage of persons actively enrolled in
77	the Florida Comprehensive Health Association shall operate under
78	the existing plan of operation without modification until the
79	adoption of the new plan of operation for the Florida Health
80	Insurance Plan.
81	Section 2.  Paragraph (l) of subsection (15) of section
82	627.6699, Florida Statutes, is amended to read:
83	627.6699  Employee Health Care Access Act.-
84	(15)  SMALL EMPLOYERS ACCESS PROGRAM.-
85	(l)  Annual reporting.-The office shall make an annual
86	report to the Governor, the President of the Senate, and the
87	Speaker of the House of Representatives. The report shall
88	summarize the activities of the program in the preceding
89	calendar year, including the net written and earned premiums,
90	program enrollment, the expense of administration, and the paid
91	and incurred losses. The report shall be submitted no later than
92	March 15 following the close of the prior calendar year.
93	Section 3.  This act shall take effect July 1, 2012.

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