Florida Regulations 69O-157.006: Pre-existing Conditions
Current as of: 2024 | Check for updates
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(1) No long-term care insurance policy or certificate other than a policy or certificate thereunder issued to a group as defined in Section 627.9405(1)(a), F.S., shall use a definition of “”preexisting condition”” which is more restrictive than the following: “”Preexisting condition”” means the existence of symptoms which would cause an ordinarily prudent person to seek diagnosis, care, or treatment, or a condition for which medical advice or treatment was recommended by or received from a provider of health care services within 6 months preceding the effective date of coverage of an insured person.
Rulemaking Authority Florida Statutes § 624.308(1), 627.9407(1) FS. Law Implemented 624.307(1), 627.9407(1), (4) FS. History-New 5-17-89, Formerly 4-81.006, 4-157.006.
(2) No long-term care insurance policy or certificate other than a policy or certificate thereunder issued to a group as defined in Section 627.9405(1)(a), F.S., may exclude coverage for a loss or confinement which is the result of a preexisting condition unless such loss or confinement begins within 6 months following the effective date of coverage of an insured person.
Rulemaking Authority Florida Statutes § 624.308(1), 627.9407(1) FS. Law Implemented 624.307(1), 627.9407(1), (4) FS. History-New 5-17-89, Formerly 4-81.006, 4-157.006.