Fla. Admin. Code Ch. 69O-191 – Health Maintenance Organizations | Midpage

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Florida Administrative Code

Chapter 69O-191

Fla. Admin. Code Ch. 69O-191

Health Maintenance Organizations

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