| 1 | A bill to be entitled |
| 2 | An act relating to interstate health insurance policies; |
| 3 | creating s. 642.122, F.S.; authorizing solicitation and |
| 4 | sale of interstate health insurance policies in this state |
| 5 | by certain persons; providing a definition; requiring |
| 6 | interstate health insurance policies and policy |
| 7 | applications to contain a certain notice; providing for |
| 8 | application of certain provisions to certain insurers; |
| 9 | excluding interstate health insurance policies from |
| 10 | certain requirements; exempting interstate health |
| 11 | insurance policies and applications from certain Florida |
| 12 | Insurance Code provisions; providing exceptions; providing |
| 13 | an effective date. |
| 14 |
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| 15 | WHEREAS, while many residents of this state have access to |
| 16 | first-rate health care, affordable health care coverage is not |
| 17 | available to all who wish to purchase it, and |
| 18 | WHEREAS, by removing barriers limiting access to affordable |
| 19 | health care coverage and expanding opportunities for residents |
| 20 | of this state to purchase more affordable coverage, this state |
| 21 | can improve access to health care and curtail rising health care |
| 22 | costs while preserving the first-rate care that so many |
| 23 | Floridians already enjoy, and |
| 24 | WHEREAS, it is important to provide residents of this state |
| 25 | with more choices when selecting a health insurance product to |
| 26 | allow individuals and families the ability to purchase |
| 27 | affordable health care coverage, thereby increasing their access |
| 28 | to quality health care, NOW, THEREFORE, |
| 29 |
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| 30 | Be It Enacted by the Legislature of the State of Florida: |
| 31 |
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| 32 | Section 1. Section 624.122, Florida Statutes, is created |
| 33 | to read: |
| 34 | 624.122 Interstate health insurance policies; notice; |
| 35 | exemption.- |
| 36 | (1) Interstate health insurance policies and applications |
| 37 | may be solicited and sold in this state only by a licensed |
| 38 | health insurance agent and underwritten only by an admitted |
| 39 | insurer. For purposes of this subsection, the term "interstate |
| 40 | health insurance policy" means a policy of health insurance |
| 41 | providing creditable coverage as defined in s. 627.6561(5)(a)2. |
| 42 | that is offered to an individual who is a resident of this state |
| 43 | and the policy is governed by the laws of any state, district, |
| 44 | or commonwealth of the United States other than this state. |
| 45 | (2) Any interstate health insurance policy sold, and any |
| 46 | application for such insurance provided to a resident of this |
| 47 | state pursuant to this section, must contain the following |
| 48 | conspicuous, boldfaced disclosure in at least 12-point type: |
| 49 | |
| 50 | THIS INDIVIDUAL HEALTH INSURANCE POLICY IS PRIMARILY |
| 51 | GOVERNED BY THE LAWS OF ...(INSERT STATE, DISTRICT, OR |
| 52 | COMMONWEALTH).... AS A RESULT, THIS POLICY DOES NOT |
| 53 | COMPLY WITH COVERAGE, UNDERWRITING, AND OTHER PROVISIONS |
| 54 | OF THE FLORIDA INSURANCE CODE. ALL OF THE RATING LAWS |
| 55 | APPLICABLE TO POLICIES FILED IN FLORIDA DO NOT APPLY TO |
| 56 | THIS COVERAGE, WHICH MAY RESULT IN INCREASES IN YOUR |
| 57 | PREMIUM AT RENEWAL THAT WOULD NOT BE PERMISSIBLE UNDER A |
| 58 | FLORIDA-APPROVED POLICY. ANY PURCHASE OF INDIVIDUAL |
| 59 | HEALTH INSURANCE SHOULD BE CONSIDERED CAREFULLY, AS |
| 60 | FUTURE MEDICAL CONDITIONS MAY MAKE IT IMPOSSIBLE TO |
| 61 | QUALIFY FOR ANOTHER INDIVIDUAL HEALTH POLICY. FOR |
| 62 | INFORMATION CONCERNING INDIVIDUAL HEALTH COVERAGE UNDER A |
| 63 | FLORIDA-APPROVED POLICY, CONSULT YOUR AGENT OR THE |
| 64 | FLORIDA DEPARTMENT OF FINANCIAL SERVICES. |
| 65 |
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| 66 | (3) Any insurer underwriting interstate health insurance |
| 67 | policies pursuant to this section is subject to all applicable |
| 68 | provisions of the Florida Insurance Code, except as otherwise |
| 69 | provided in this section. Interstate health insurance policies |
| 70 | are not subject to any form approval, rate approval, |
| 71 | underwriting restrictions, guaranteed availability, or coverage |
| 72 | mandates provided in the Florida Insurance Code. Health |
| 73 | insurance agents who are licensed and appointed pursuant to |
| 74 | chapter 626 may solicit, sell, effect, collect premium on, and |
| 75 | deliver interstate heath insurance policies in accordance with |
| 76 | this section. |
| 77 | (4) Any interstate health insurance policy or application |
| 78 | solicited, provided, entered into, issued, or delivered pursuant |
| 79 | to this section is exempt from all provisions of the Florida |
| 80 | Insurance Code, except that such policy, contract, or agreement |
| 81 | is subject to the provisions of ss. 624.155, 624.316, 624.3161, |
| 82 | 626.951, 626.9511, 626.9521, 626.9541, 626.9551, 626.9561, |
| 83 | 626.9571, 626.9581, 626.9591, 626.9601, 627.413, 627.4145, |
| 84 | 627.428, and 627.6043. |
| 85 | Section 2. This act shall take effect July 1, 2010. |