December 12, 2019
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The Florida Statutes

The 2001 Florida Statutes

Title XXX
Social Welfare
Chapter 409
Social And Economic Assistance
View Entire Chapter
Section 409.817, Florida Statutes 2001

1409.817  Approval of health benefits coverage; financial assistance.--In order for health insurance coverage to qualify for premium assistance payments for an eligible child under ss. 409.810-409.820, the health benefits coverage must:

(1)  Be certified by the Department of Insurance under s. 409.818 as meeting, exceeding, or being actuarially equivalent to the benchmark benefit plan;

(2)  Be guarantee issued;

(3)  Be community rated;

(4)  Not impose any preexisting condition exclusion for covered benefits; however, group health insurance plans may permit the imposition of a preexisting condition exclusion, but only insofar as it is permitted under s. 627.6561;

(5)  Comply with the applicable limitations on premiums and cost-sharing in s. 409.816;

(6)  Comply with the quality assurance and access standards developed under s. 409.820; and

(7)  Establish periodic open enrollment periods, which may not occur more frequently than quarterly.

History.--ss. 42, 57, ch. 98-288.

1Note.--Section 57, ch. 98-288, provides that:

"Sections 409.810 through 409.820, Florida Statutes, as created by this act, are repealed, subject to prior legislative review, on the first July 1 occurring at least 1 year after the effective date of an act of the United States Congress or the federal Health Care Financing Administration which:

"(1)  Reduces Florida's federal matching rate under Title XXI of the Social Security Act to less than 65 percent federal match; or

"(2)  Reduces the federal funds allotted to Florida under Title XXI of the Social Security Act to less than $250 million annually."

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