CS/HB 4101

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 board
5	of directors annually report to the Governor and the
6	Legislature concerning the Florida Health Insurance Plan;
7	deleting redundant language making the implementation of
8	the plan by the board contingent upon certain
9	appropriations; amending s. 627.6699, F.S.; deleting a
10	requirement that the Office of Insurance Regulation of the
11	Department of Financial Services annually report to the
12	Governor and the Legislature concerning the Small
13	Employers Access Program; providing an effective date.
14
15	Be It Enacted by the Legislature of the State of Florida:
16
17	Section 1.  Subsections (7) through (20) of section
18	627.64872, Florida Statutes, are renumbered as subsections (6)
19	through (19), respectively, and paragraph (b) of subsection (4),
20	present subsection (6), and paragraph (a) of present subsection
21	(20) of that section are amended, to read:
22	627.64872  Florida Health Insurance Plan.-
23	(4)  PLAN OF OPERATION.-The plan of operation shall:
24	(b)  Establish procedures for selecting an administrator in
25	accordance with subsection (10) (11).
26	(6)  ANNUAL REPORT.-The board shall annually submit to the
27	Governor, the President of the Senate, and the Speaker of the
28	House of Representatives a report that includes an independent
29	actuarial study to determine, without limitation, the following:
30	(a)  The effect the creation of the plan has on the small
31	group and individual insurance market, specifically on the
32	premiums paid by insureds, including an estimate of the total
33	anticipated aggregate savings for all small employers in the
34	state.
35	(b)  The actual number of individuals covered at the
36	current funding and benefit level, the projected number of
37	individuals that may seek coverage in the forthcoming fiscal
38	year, and the projected funding needed to cover anticipated
39	increase or decrease in plan participation.
40	(c)  A recommendation as to the best source of funding for
41	the anticipated deficits of the pool.
42	(d)  A summary of the activities of the plan in the
43	preceding calendar year, including the net written and earned
44	premiums, plan enrollment, the expense of administration, and
45	the paid and incurred losses.
46	(e)  A review of the operation of the plan as to whether
47	the plan has met the intent of this section.
48
49	The board may not implement the Florida Health Insurance Plan
50	until funds are appropriated for startup costs and any projected
51	deficits; however, the board may complete the actuarial study
52	authorized in this subsection.
53	(19)(20)  COMBINING MEMBERSHIP OF THE FLORIDA COMPREHENSIVE
54	HEALTH ASSOCIATION; ASSESSMENT.-
55	(a)1.  Upon implementation of the Florida Health Insurance
56	Plan, the Florida Comprehensive Health Association, as specified
57	in s. 627.6488, is abolished as a separate nonprofit entity and
58	shall be subsumed under the board of directors of the Florida
59	Health Insurance Plan. All individuals actively enrolled in the
60	Florida Comprehensive Health Association shall be enrolled in
61	the plan subject to its rules and requirements, except as
62	otherwise specified in this section. Maximum lifetime benefits
63	paid to an individual in the plan shall not exceed the amount
64	established under subsection (15) (16), and benefits previously
65	paid for any individual by the Florida Comprehensive Health
66	Association shall be used in the determination of total lifetime
67	benefits paid under the plan.
68	2.  All persons enrolled in the Florida Comprehensive
69	Health Association upon implementation of the Florida Health
70	Insurance Plan are only eligible for the benefits authorized
71	under subsection (15) (16). Persons identified by this section
72	shall convert to the benefits authorized under subsection (15)
73	(16) no later than January 1, 2005.
74	3.  Except as otherwise provided in this section, the
75	administration of the coverage of persons actively enrolled in
76	the Florida Comprehensive Health Association shall operate under
77	the existing plan of operation without modification until the
78	adoption of the new plan of operation for the Florida Health
79	Insurance Plan.
80	Section 2.  Paragraph (l) of subsection (15) of section
81	627.6699, Florida Statutes, is amended to read:
82	627.6699  Employee Health Care Access Act.-
83	(15)  SMALL EMPLOYERS ACCESS PROGRAM.-
84	(l)  Annual reporting.-The office shall make an annual
85	report to the Governor, the President of the Senate, and the
86	Speaker of the House of Representatives. The report shall
87	summarize the activities of the program in the preceding
88	calendar year, including the net written and earned premiums,
89	program enrollment, the expense of administration, and the paid
90	and incurred losses. The report shall be submitted no later than
91	March 15 following the close of the prior calendar year.
92	Section 3.  This act shall take effect July 1, 2011.

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