Florida StatutesChapter 627 INSURANCE RATES AND CONTRACTS
- PART I RATES AND RATING ORGANIZATIONS(ss. 627.011-627.381)
- 627.011 Short title.
- 627.021 Scope of this part.
- 627.031 Purposes of this part; interpretation.
- 627.041 Definitions.
- 627.0612 Administrative proceedings in rating determinations.
- 627.0613 Consumer advocate.
- 627.062 Rate standards.
- 627.0621 Transparency in rate regulation.
- 627.0625 Commercial property and casualty risk management plans.
- 627.0628 Florida Commission on Hurricane Loss Projection Methodology; public records exemption; public meetings exemption.
- 627.06281 Public hurricane loss projection model; reporting of data by insurers.
- 627.0629 Residential property insurance; rate filings.
- 627.06291 Excess profits of residential property insurer; return.
- 627.06292 Reports of hurricane loss data and associated exposure data; public records exemption.
- 627.0645 Annual filings.
- 627.06501 Insurance discounts for certain persons completing driver improvement course.
- 627.0651 Making and use of rates for motor vehicle insurance.
- 627.0652 Insurance discounts for certain persons completing safety course.
- 627.0653 Insurance discounts for specified motor vehicle equipment.
- 627.06535 Electric vehicles; restrictions on imposing surcharges.
- 627.0654 Insurance discounts for buildings with fire sprinklers.
- 627.0655 Policyholder loss or expense-related premium discounts.
- 627.066 Excessive profits for motor vehicle insurance prohibited.
- 627.0665 Automatic bank withdrawal agreements; notification required.
- 627.072 Making and use of rates.
- 627.091 Rate filings; workers’ compensation and employer’s liability insurances.
- 627.0915 Rate filings; workers’ compensation, drug-free workplace, and safe employers.
- 627.0916 Agricultural horse farms.
- 627.092 Workers’ Compensation Administrator.
- 627.093 Application of s. 286.011 to workers’ compensation and employer’s liability insurances.
- 627.096 Workers’ Compensation Rating Bureau.
- 627.101 When filing becomes effective; workers’ compensation and employer’s liability insurances.
- 627.111 Effective date of filing.
- 627.141 Subsequent disapproval of filing; workers’ compensation and employer’s liability insurances.
- 627.151 Basis of approval or disapproval of workers’ compensation or employer’s liability insurance filing; scope of disapproval power.
- 627.1615 Workers’ compensation applicant discrimination.
- 627.162 Requirements for premium installments; delinquency, collection, and check return charges; attorney’s fees.
- 627.171 Excess rates.
- 627.191 Adherence to filings; workers’ compensation and employer’s liability insurances.
- 627.192 Workers’ compensation insurance; employee leasing arrangements.
- 627.211 Deviations; workers’ compensation and employer’s liability insurances.
- 627.212 Workplace safety program surcharge.
- 627.215 Excessive profits for workers’ compensation, employer’s liability, commercial property, and commercial casualty insurance prohibited.
- 627.221 Rating organizations; licensing; fee.
- 627.231 Subscribers to rating organizations.
- 627.241 Notice of changes.
- 627.251 Bureau rules not to affect dividends.
- 627.261 Actuarial and technical services.
- 627.281 Appeal from rating organization; workers’ compensation and employer’s liability insurance filings.
- 627.285 Independent actuarial peer review of workers’ compensation rating organization.
- 627.291 Information to be furnished insureds; appeal by insureds; workers’ compensation and employer’s liability insurances.
- 627.301 Advisory organizations.
- 627.311 Joint underwriters and joint reinsurers; public records and public meetings exemptions.
- 627.312 Transitional provisions.
- 627.3121 Public records and public meetings exemptions.
- 627.313 Workers’ Compensation Joint Underwriting Plan; audit requirements.
- 627.314 Concerted action by two or more insurers.
- 627.318 Records.
- 627.331 Recording and reporting of loss, expense, and claims experience; rating information.
- 627.351 Insurance risk apportionment plans.
- 627.3511 Depopulation of Citizens Property Insurance Corporation.
- 627.3512 Recoupment of residual market deficit assessments.
- 627.3513 Standards for sale of bonds by Citizens Property Insurance Corporation.
- 627.3515 Market assistance plan; property and casualty risks.
- 627.3517 Consumer choice.
- 627.3519 Annual report of aggregate net probable maximum losses, financing options, and potential assessments.
- 627.35193 Consumer reporting agency request for claims data from Citizens Property Insurance Corporation.
- 627.357 Medical malpractice self-insurance.
- 627.361 False or misleading information.
- 627.371 Hearings.
- 627.381 Penalty for violation.
- PART II THE INSURANCE CONTRACT(ss. 627.401-627.442)
- 627.401 Scope of this part.
- 627.402 Definitions; specified certificates not included.
- 627.4025 Residential coverage and hurricane coverage defined.
- 627.403 “Premium” defined.
- 627.4035 Cash payment of premiums; claims.
- 627.404 Insurable interest; personal insurance.
- 627.405 Insurable interest; property.
- 627.406 Power to contract; purchase of insurance by or for minor.
- 627.407 Alteration of application.
- 627.408 Application as evidence.
- 627.4085 Insurer name, agent name, and license identification number required on application.
- 627.409 Representations in applications; warranties.
- 627.4091 Specific reasons for denial, cancellation, or nonrenewal.
- 627.40951 Standard personal lines residential insurance policy.
- 627.410 Filing, approval of forms.
- 627.4101 Credit insurance enrollment forms.
- 627.4105 Life and health insurance; reduced premiums upon rigorous physical examination.
- 627.4107 Government employees exposed to toxic drug chemicals; cancellation of life or health policy or certificate prohibited.
- 627.411 Grounds for disapproval.
- 627.412 Standard provisions, in general.
- 627.413 Contents of policies, in general; identification.
- 627.4131 Telephone number required.
- 627.4132 Stacking of coverages prohibited.
- 627.4133 Notice of cancellation, nonrenewal, or renewal premium.
- 627.4135 Casualty insurance contracts subject to general provisions for insurance contracts.
- 627.4136 Nonjoinder of insurers.
- 627.4137 Disclosure of certain information required.
- 627.414 Additional policy contents.
- 627.4143 Outline of coverage.
- 627.4145 Readable language in insurance policies.
- 627.4147 Medical malpractice insurance contracts.
- 627.4148 Medical malpractice insurers; required offer of coverage limits.
- 627.41495 Public notice of medical malpractice rate filings.
- 627.415 Charter, bylaw provisions.
- 627.416 Execution of policies.
- 627.417 Underwriters’ and combination policies.
- 627.418 Validity of noncomplying contracts.
- 627.419 Construction of policies.
- 627.4195 Health insurance; claims for payment of psychotherapeutic services; confidentiality.
- 627.420 Binders.
- 627.4205 Coverage identification number required.
- 627.421 Delivery of policy.
- 627.422 Assignment of policies.
- 627.423 Payment discharges insurer.
- 627.4232 Health insurance out-of-hospital benefits.
- 627.4233 Total disability defined.
- 627.4234 Health insurance cost containment provisions required.
- 627.4235 Coordination of benefits.
- 627.4236 Coverage for bone marrow transplant procedures.
- 627.4237 Sickness disability or disability due to sickness.
- 627.4238 Health insurer examinations.
- 627.4239 Coverage for use of drugs in treatment of cancer.
- 627.42395 Coverage for certain prescription and nonprescription enteral formulas.
- 627.424 Minor may give acquittance.
- 627.425 Forms for proof of loss to be furnished.
- 627.426 Claims administration.
- 627.4265 Payment of settlement.
- 627.427 Payment of judgment by insurer; penalty for failure.
- 627.428 Attorney’s fee.
- 627.429 Medical tests for HIV infection and AIDS for insurance purposes.
- 627.4295 Dental procedures; anesthesia and hospitalization coverage.
- 627.4301 Genetic information for insurance purposes.
- 627.4302 Identification cards for processing prescription drug claims.
- 627.441 Commercial general liability policies; coverage to contractors for completed operations.
- 627.442 Insurance contracts.
- PART III LIFE INSURANCE AND ANNUITY CONTRACTS(ss. 627.451-627.482)
- PART IV INDUSTRIAL LIFE INSURANCE POLICIES(ss. 627.501-627.522)
- PART IX CREDIT LIFE AND DISABILITY INSURANCES(ss. 627.676-627.6845)
- PART V GROUP LIFE INSURANCE POLICIES(ss. 627.551-627.575)
- PART VI HEALTH INSURANCE POLICIES(ss. 627.601-627.6499)
- 627.601 Scope of this part.
- 627.602 Scope, format of policy.
- 627.603 Death benefits.
- 627.604 Nonresident insured.
- 627.6041 Handicapped children; continuation of coverage.
- 627.6043 Notification of cancellation, nonrenewal, or change in rates.
- 627.6044 Use of a specific methodology for payment of claims.
- 627.6045 Preexisting condition.
- 627.605 Required provisions; captions, omissions, substitutions.
- 627.6056 Coverage for ambulatory surgical center service.
- 627.606 Entire contract; changes.
- 627.607 Time limit on certain defenses.
- 627.608 Grace period.
- 627.609 Reinstatement.
- 627.610 Notice of claim.
- 627.611 Claim forms.
- 627.612 Proof of loss.
- 627.613 Time of payment of claims.
- 627.6131 Payment of claims.
- 627.614 Payment of claims.
- 627.6141 Denial of claims.
- 627.615 Physical examination, autopsy.
- 627.616 Legal actions.
- 627.617 Change of beneficiary.
- 627.618 Optional policy provisions.
- 627.619 Change of occupation.
- 627.620 Misstatement of age or sex.
- 627.621 Other insurance with this insurer.
- 627.622 Insurance with other insurers.
- 627.623 Insurance with other insurers; other benefits.
- 627.624 Relation of earnings to insurance.
- 627.625 Unpaid premiums.
- 627.6265 Cancellation or nonrenewal prohibited.
- 627.627 Conformity with statutes.
- 627.628 Illegal occupation.
- 627.629 Intoxicants and narcotics.
- 627.630 Order of certain provisions.
- 627.631 Third-party ownership.
- 627.632 Requirements of other jurisdictions.
- 627.633 Other policy provisions.
- 627.634 Age limit.
- 627.635 Excess insurance.
- 627.636 Industrial health insurance.
- 627.637 Construction of noncomplying contracts.
- 627.638 Direct payment for hospital, medical services.
- 627.639 Application signed by agent.
- 627.640 Filing of classifications and rates.
- 627.6401 Refunds for persons age 64.
- 627.6402 Insurance rebates for healthy lifestyles.
- 627.6403 Payment of acupuncture benefits to certified acupuncturists.
- 627.6405 Decreasing inappropriate utilization of emergency care.
- 627.6406 Maternity care.
- 627.6407 Massage.
- 627.6408 Diabetes treatment services.
- 627.6409 Coverage for osteoporosis screening, diagnosis, treatment, and management.
- 627.641 Coverage for newborn children.
- 627.6415 Coverage for natural-born, adopted, and foster children; children in insured’s custodial care.
- 627.6416 Coverage for child health supervision services.
- 627.6417 Coverage for surgical procedures and devices incident to mastectomy.
- 627.64171 Coverage for length of stay and outpatient postsurgical care.
- 627.64172 Requirements with respect to breast cancer and routine followup care.
- 627.6418 Coverage for mammograms.
- 627.6419 Requirements with respect to breast cancer.
- 627.64193 Required coverage for cleft lip and cleft palate.
- 627.642 Outline of coverage.
- 627.6425 Renewability of individual coverage.
- 627.643 Uniform minimum standards.
- 627.644 Discrimination against handicapped prohibited.
- 627.645 Denial of health insurance claims restricted.
- 627.646 Conversion on termination of eligibility.
- 627.647 Standard health claim form.
- 627.6471 Contracts for reduced rates of payment; limitations; coinsurance and deductibles.
- 627.6472 Exclusive provider organizations.
- 627.64725 Health maintenance organization or exclusive provider organization; disclosure of terms and conditions of plan.
- 627.6473 Combined preferred provider and exclusive provider policies.
- 627.64731 Leasing, renting, or granting access to a participating provider.
- 627.6474 Provider contracts.
- 627.6475 Individual reinsurance pool.
- 627.648 Florida Comprehensive Health Association Act.
- 627.6482 Definitions.
- 627.6484 Termination of enrollment; availability of other coverage.
- 627.6486 Eligibility.
- 627.6487 Guaranteed availability of individual health insurance coverage to eligible individuals.
- 627.64871 Certification of coverage.
- 627.64872 Florida Health Insurance Plan.
- 627.6488 Florida Comprehensive Health Association.
- 627.6489 Disease Management Program.
- 627.649 Administrator.
- 627.6492 Participation of insurers.
- 627.6494 Assessments; deferment, limitation.
- 627.6496 Issuing of policies.
- 627.6498 Minimum benefits coverage; exclusions; premiums; deductibles.
- 627.6499 Reporting by insurers and third-party administrators.
- PART VII GROUP, BLANKET, AND FRANCHISE HEALTH INSURANCE POLICIES(ss. 627.651-627.6699)
- 627.651 Group contracts and plans of self-insurance must meet group requirements.
- 627.6512 Exemption of certain group health insurance policies.
- 627.6515 Out-of-state groups.
- 627.6516 Trustee groups.
- 627.652 Group health insurance; definitions.
- 627.653 Employee groups.
- 627.654 Labor union, association, and small employer health alliance groups.
- 627.655 Debtor groups.
- 627.6551 Teacher and student groups.
- 627.656 Additional groups.
- 627.6561 Preexisting conditions.
- 627.65615 Special enrollment periods.
- 627.6562 Dependent coverage.
- 627.65625 Prohibiting discrimination against individual participants and beneficiaries based on health status.
- 627.65626 Insurance rebates for healthy lifestyles.
- 627.6563 Full-time employment defined.
- 627.657 Provisions of group health insurance policies.
- 627.6571 Guaranteed renewability of coverage.
- 627.65735 Nondiscrimination of coverage for surgical procedures.
- 627.6574 Maternity care.
- 627.65745 Diabetes treatment services.
- 627.6575 Coverage for newborn children.
- 627.65755 Dental procedures; anesthesia and hospitalization coverage.
- 627.6577 Dental care.
- 627.6578 Coverage for natural-born, adopted, and foster children; children in insured’s custodial care.
- 627.6579 Coverage for child health supervision services.
- 627.658 Use of dividends, refunds, rate reductions, commissions, service fees; premium rates.
- 627.659 Blanket health insurance; eligible groups.
- 627.660 Conditions and provisions of blanket health insurance policies.
- 627.661 School accident insurance claims; policy service.
- 627.6612 Coverage for surgical procedures and devices incident to mastectomy.
- 627.66121 Coverage for length of stay and outpatient postsurgical care.
- 627.66122 Requirements with respect to breast cancer and routine followup care.
- 627.6613 Coverage for mammograms.
- 627.6615 Handicapped children; continuation of coverage under group policy.
- 627.6616 Coverage for ambulatory surgical center service.
- 627.6617 Coverage for home health care services.
- 627.6618 Payment of acupuncture benefits to certified acupuncturists.
- 627.6619 Massage.
- 627.662 Other provisions applicable.
- 627.663 Franchise health insurance.
- 627.664 Assignment of incidents of ownership in group, blanket, or franchise health policies.
- 627.6645 Notification of cancellation, expiration, nonrenewal, or change in rates.
- 627.6646 Cancellation or nonrenewal prohibited.
- 627.6647 Release of claims experience.
- 627.6651 Replacement or termination of group, blanket, or franchise health policy or contract; liability of prior insurer.
- 627.666 Liability of succeeding insurer on replacement of group, blanket, or franchise health insurance policy.
- 627.667 Extension of benefits.
- 627.6675 Conversion on termination of eligibility.
- 627.668 Optional coverage for mental and nervous disorders required; exception.
- 627.6686 Coverage for individuals with autism spectrum disorder required; exception.
- 627.669 Optional coverage required for substance abuse impaired persons; exception.
- 627.6691 Coverage for osteoporosis screening, diagnosis, treatment, and management.
- 627.66911 Required coverage for cleft lip and cleft palate.
- 627.6692 Florida Health Insurance Coverage Continuation Act.
- 627.6698 Attorney’s fees.
- 627.6699 Employee Health Care Access Act.
- PART VIII MEDICARE SUPPLEMENT POLICIES(ss. 627.671-627.675)
- PART X PROPERTY INSURANCE CONTRACTS(ss. 627.701-627.714)
- PART XI MOTOR VEHICLE AND CASUALTY INSURANCE CONTRACTS(ss. 627.7261-627.746)
- PART XII SURETY INSURANCE CONTRACTS(ss. 627.751-627.759)
- PART XIII TITLE INSURANCE CONTRACTS(ss. 627.7711-627.798)
- PART XIV VARIABLE OR INDETERMINATE VALUE CONTRACTS(ss. 627.801-627.807)
- PART XIX PURCHASING GROUPS AND RISK RETENTION GROUPS(ss. 627.941-627.955)
- PART XV PREMIUM FINANCE COMPANIES AND AGREEMENTS(ss. 627.826-627.849)
- PART XVI PREMIUM FINANCING(ss. 627.901-627.904)
- PART XVII INSURER REPORTING(ss. 627.911-627.919)
- PART XVIII LONG-TERM CARE INSURANCE POLICIES(ss. 627.9401-627.9408)
- PART XX FINANCIAL GUARANTY INSURANCE(ss. 627.971-627.975)
- PART XXI MORTGAGE INSURANCE CONSOLIDATIONS(ss. 627.981-627.987)