Florida Regulations 69O-203.202: Standards for Discount Plans
Current as of: 2024 | Check for updates
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(1) Contracts for all Plans shall include all elements contained in this section:
(a) Name and address of the DPO;
(b) Telephone number for member assistance and Plan information;
(c) Contracts shall include the name of the group, if applicable, and the name of the member;
(d) Effective date and term of contract;
(e) Space for charges and any one-time processing fee;
(f) Mode of payment (monthly, quarterly, etc. with provision for change of mode if applicable);
(g) Renewal, termination and cancellation conditions;
(h) Benefits to be provided;
(i) All limitations, exclusions and exceptions;
(j) Provisions for adding new family members; and
(k) Member complaint procedure.
(2) The contract shall contain the entire agreement with the member. If a group arrangement is involved, contract terms may be included in a member handbook if incorporated by reference.
Rulemaking Authority 636.232 FS. Law Implemented Florida Statutes § 636.216. History-New 4-7-05, Amended 11-1-07, 4-11-19.
Terms Used In Florida Regulations 69O-203.202
- Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
- Contract: A legal written agreement that becomes binding when signed.
(b) Telephone number for member assistance and Plan information;
(c) Contracts shall include the name of the group, if applicable, and the name of the member;
(d) Effective date and term of contract;
(e) Space for charges and any one-time processing fee;
(f) Mode of payment (monthly, quarterly, etc. with provision for change of mode if applicable);
(g) Renewal, termination and cancellation conditions;
(h) Benefits to be provided;
(i) All limitations, exclusions and exceptions;
(j) Provisions for adding new family members; and
(k) Member complaint procedure.
(2) The contract shall contain the entire agreement with the member. If a group arrangement is involved, contract terms may be included in a member handbook if incorporated by reference.
Rulemaking Authority 636.232 FS. Law Implemented Florida Statutes § 636.216. History-New 4-7-05, Amended 11-1-07, 4-11-19.