R. 69O-191.024 Definitions for the Purposes of These Rules
R. 69O-191.027 Application for Certificate of Authority
R. 69O-191.029 Maintaining Eligibility for Certificate of Authority
R. 69O-191.030 Governing Body
R. 69O-191.033 Standards for Subscriber Contracts
R. 69O-191.035 Co-Payments
R. 69O-191.037 Mandatory Coverage of Diabetes Treatment
R. 69O-191.039 Certificate and Member Handbook Standards
R. 69O-191.042 Reasons for Cancellation of Eligibility of a Subscriber Member
R. 69O-191.045 Newborn and Adopted Children Coverage
R. 69O-191.049 Services of Specified Non-Contracted Hospital Based Physician Providers
R. 69O-191.051 Filing, Approval of Subscriber Contract and Related Forms
R. 69O-191.054 Rates
R. 69O-191.0545 Healthy Lifestyle Rebate
R. 69O-191.055 Actuarial Memorandum and Definitions
R. 69O-191.057 Standards for Marketing
R. 69O-191.059 Sales and Marketing Procedures for HMOs Regarding Medicare Subscribers
R. 69O-191.060 Form and Content of Advertisements
R. 69O-191.063 Advertisement Enforcement Procedures
R. 69O-191.069 Insurance – General Liability and Medical Malpractice/Professional Liability
R. 69O-191.074 Records Retention
R. 69O-191.075 Annual and Quarterly Reports
R. 69O-191.076 Corrective Action Plans
R. 69O-191.078 Subscriber Grievance Procedure
R. 69O-191.085 Fees
R. 69O-191.088 Surplus Notes
R. 69O-191.090 Cash Management Systems
R. 69O-191.091 Guaranteeing Organizations
R. 69O-191.094 Change of Name
R. 69O-191.095 Change of Address
R. 69O-191.100 Operational HMOs; Issuance of Certificate
R. 69O-191.105 Individual Subscriber Enrollment Procedures
R. 69O-191.300 Health Maintenance Organization (HMO) Penalty Categories

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Terms Used In Florida Regulations > Chapter 69O-191 - Health Maintenance Organizations

  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Appraisal: A determination of property value.
  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • 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.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Deed: The legal instrument used to transfer title in real property from one person to another.
  • Dependent: A person dependent for support upon another.
  • Escrow: Money given to a third party to be held for payment until certain conditions are met.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
  • Foreclosure: A legal process in which property that is collateral or security for a loan may be sold to help repay the loan when the loan is in default. Source: OCC
  • Fraud: Intentional deception resulting in injury to another.
  • Grace period: The number of days you'll have to pay your bill for purchases in full without triggering a finance charge. Source: Federal Reserve
  • Guarantor: A party who agrees to be responsible for the payment of another party's debts should that party default. Source: OCC
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity.
  • Mortgage: The written agreement pledging property to a creditor as collateral for a loan.
  • Oath: A promise to tell the truth.
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Oversight: Committee review of the activities of a Federal agency or program.
  • Service of process: The service of writs or summonses to the appropriate party.
  • Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
  • Statute: A law passed by a legislature.
  • Trustee: A person or institution holding and administering property in trust.