§ 627.601 Scope of this part
§ 627.6011 Mandated coverages
§ 627.602 Scope, format of policy
§ 627.603 Death benefits
§ 627.604 Nonresident insured
§ 627.6041 Children with disabilities; continuation of coverage
§ 627.6043 Notification of cancellation, nonrenewal, or change in rates
§ 627.6044 Use of a specific methodology for payment of claims
§ 627.6045 Preexisting condition
§ 627.6046 Limit on preexisting conditions
§ 627.605 Required provisions; captions, omissions, substitutions
§ 627.6056 Coverage for ambulatory surgical center service
§ 627.606 Entire contract; changes
§ 627.607 Time limit on certain defenses
§ 627.608 Grace period
§ 627.609 Reinstatement
§ 627.610 Notice of claim
§ 627.611 Claim forms
§ 627.612 Proof of loss
§ 627.613 Time of payment of claims
§ 627.6131 Payment of claims
§ 627.614 Payment of claims
§ 627.6141 Denial of claims
§ 627.615 Physical examination, autopsy
§ 627.616 Legal actions
§ 627.617 Change of beneficiary
§ 627.618 Optional policy provisions
§ 627.619 Change of occupation
§ 627.620 Misstatement of age or sex
§ 627.621 Other insurance with this insurer
§ 627.622 Insurance with other insurers
§ 627.623 Insurance with other insurers; other benefits
§ 627.624 Relation of earnings to insurance
§ 627.625 Unpaid premiums
§ 627.6265 Cancellation or nonrenewal prohibited
§ 627.627 Conformity with statutes
§ 627.628 Illegal occupation
§ 627.629 Intoxicants and narcotics
§ 627.630 Order of certain provisions
§ 627.631 Third-party ownership
§ 627.632 Requirements of other jurisdictions
§ 627.633 Other policy provisions
§ 627.634 Age limit
§ 627.635 Excess insurance
§ 627.636 Industrial health insurance
§ 627.637 Construction of noncomplying contracts
§ 627.638 Direct payment for hospital, medical services
§ 627.6385 Disclosures to policyholders; calculations of cost sharing
§ 627.6387 Shared savings incentive program
§ 627.639 Application signed by agent
§ 627.640 Filing of classifications and rates
§ 627.6401 Refunds for persons age 64
§ 627.6402 Insurance rebates for healthy lifestyles
§ 627.64025 Advanced practice registered nurse services
§ 627.6403 Payment of acupuncture benefits to certified acupuncturists
§ 627.6405 Decreasing inappropriate utilization of emergency care
§ 627.6406 Maternity care
§ 627.6407 Massage
§ 627.6408 Diabetes treatment services
§ 627.6409 Coverage for osteoporosis screening, diagnosis, treatment, and management
§ 627.641 Coverage for newborn children
§ 627.6415 Coverage for natural-born, adopted, and foster children; children in insured’s custodial care
§ 627.6416 Coverage for child health supervision services
§ 627.6417 Coverage for surgical procedures and devices incident to mastectomy
§ 627.64171 Coverage for length of stay and outpatient postsurgical care
§ 627.64172 Requirements with respect to breast cancer and routine followup care
§ 627.6418 Coverage for mammograms
§ 627.6419 Requirements with respect to breast cancer
§ 627.64193 Required coverage for cleft lip and cleft palate
§ 627.64194 Coverage requirements for services provided by nonparticipating providers; payment collection limitations
§ 627.64195 Requirements for opioid coverage
§ 627.64196 Medication synchronization
§ 627.64197 Coverage for organ transplants
§ 627.642 Outline of coverage
§ 627.6425 Renewability of individual coverage
§ 627.6426 Short-term health insurance
§ 627.643 Uniform minimum standards
§ 627.644 Discrimination against handicapped prohibited
§ 627.645 Denial of health insurance claims restricted
§ 627.646 Conversion on termination of eligibility
§ 627.647 Standard health claim form
§ 627.6471 Contracts for reduced rates of payment; limitations; coinsurance and deductibles
§ 627.6472 Exclusive provider organizations
§ 627.64725 Health maintenance organization or exclusive provider organization; disclosure of terms and conditions of plan
§ 627.6473 Combined preferred provider and exclusive provider policies
§ 627.64731 Leasing, renting, or granting access to a participating provider
§ 627.6474 Provider contracts
§ 627.64741 Pharmacy benefit manager contracts
§ 627.6475 Individual reinsurance pool
§ 627.6487 Guaranteed availability of individual health insurance coverage to eligible individuals
§ 627.64995 Restrictions on use of state and federal funds for state exchanges

Terms Used In Florida Statutes > Chapter 627 > Part VI - Health Insurance Policies

  • Abatement: means the removal, encapsulation, enclosure, or disposal of asbestos. See Florida Statutes 469.001
  • Affidavit: A written statement of facts confirmed by the oath of the party making it, before a notary or officer having authority to administer oaths.
  • Affirmed: In the practice of the appellate courts, the decree or order is declared valid and will stand as rendered in the lower court.
  • AHERA: means the Asbestos Hazard Emergency Response Act of 1986, 15 U. See Florida Statutes 469.001
  • 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.
  • animal: as used in this chapter , shall include wild or game animals whenever necessary to effectively control or eradicate dangerous transmissible diseases or pests which threaten the agricultural interests of the state. See Florida Statutes 585.01
  • Annuity: A periodic (usually annual) payment of a fixed sum of money for either the life of the recipient or for a fixed number of years. A series of payments under a contract from an insurance company, a trust company, or an individual. Annuity payments are made at regular intervals over a period of more than one full year.
  • Apiary: means a beeyard or site where honeybee hives, honeybees, or honeybee equipment is located. See Florida Statutes 586.02
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Appraisal: A determination of property value.
  • Arrest: Taking physical custody of a person by lawful authority.
  • Asbestos: means the asbestiform varieties of chrysotile, crocidolite, amosite, anthophyllite, tremolite, and actinolite. See Florida Statutes 469.001
  • Asbestos consultant: means a person who offers to, undertakes to, submits a bid to, or does, individually or by employing others, conduct surveys for asbestos-containing materials, develop operation and maintenance plans, monitor and evaluate asbestos abatement, prepare asbestos abatement specifications, or perform related tasks. See Florida Statutes 469.001
  • Asbestos contractor: means the person who is qualified and responsible for the contracted project and who offers to, undertakes to, submits a bid to, or does, individually or by employing others, remove, encapsulate, or enclose asbestos-containing materials or dispose of asbestos-containing waste in the course of activities including, but not limited to, construction, renovation, maintenance, or demolition. See Florida Statutes 469.001
  • ASHARA: means the Asbestos School Hazard Reauthorization Act. See Florida Statutes 469.001
  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Attachment: A procedure by which a person's property is seized to pay judgments levied by the court.
  • Baseline: Projection of the receipts, outlays, and other budget amounts that would ensue in the future without any change in existing policy. Baseline projections are used to gauge the extent to which proposed legislation, if enacted into law, would alter current spending and revenue levels.
  • Beef cattle: means animals of the genus Bos of various breeds which are raised primarily for the production of meat. See Florida Statutes 585.01
  • Beekeeping equipment: means honeybee hives, frames, supers, pallets, queen excluders, and other equipment which is used in the cultivation of honeybees and the harvesting of products produced by honeybees. See Florida Statutes 586.02
  • 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
  • Bequest: Property gifted by will.
  • Biological or chemical residues: means potentially harmful substances and their metabolites not normally present in animal tissues, which result from treatment or exposure to a pesticide, organic or inorganic compound, hormone, hormone-like substance, growth promoter, antibiotic, anthelmintic, tranquilizer, vaccine, or other therapeutic or prophylactic agent. See Florida Statutes 585.01
  • Biological products: means all viruses, serums, toxins, and analogous products of natural or synthetic origin, such as diagnostics, antitoxins, vaccines, live microorganisms, killed microorganisms, and the antigenic or immunizing components of microorganisms intended for use in the diagnoses, treatment, or prevention of diseases of animals and sometimes referred to as biologics, biologicals, or products. See Florida Statutes 585.01
  • Board: means the Board of Professional Engineers. See Florida Statutes 471.005
  • Board of directors: means the board of directors of the Florida Engineers Management Corporation. See Florida Statutes 471.005
  • Budget authority: Authority provided by law to enter into obligations that will result in outlays of Federal funds. Budget authority may be classified by the period of availability (one-year, multiyear, no-year), by the timing of congressional action (current or permanent), or by the manner of determining the amount available (definite or indefinite).
  • Cattle: means any bull, steer, ox, cow, heifer, calf, or any other bovine animal. See Florida Statutes 585.01
  • Certified honey: means honey that is sampled, analyzed, and certified by the department to be primarily of one type from a principal nectar source. See Florida Statutes 586.02
  • Colony: means a distinguishable localized population of honeybees in which one or more life stages may be present. See Florida Statutes 586.02
  • Commissioner: means the Commissioner of Agriculture. See Florida Statutes 582.01
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Compliance agreement: means a written agreement between the department and any person engaged in purchasing, assembling, exchanging, processing, utilizing, treating, or moving beekeeping equipment or honeybees wherein the person agrees to comply with stipulated requirements. See Florida Statutes 586.02
  • Continuance: Putting off of a hearing ot trial until a later time.
  • Contract: A legal written agreement that becomes binding when signed.
  • Conviction: A judgement of guilt against a criminal defendant.
  • 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.
  • Council: means the Soil and Water Conservation Council. See Florida Statutes 582.01
  • Damages: Money paid by defendants to successful plaintiffs in civil cases to compensate the plaintiffs for their injuries.
  • Department: means the Department of Business and Professional Regulation. See Florida Statutes 469.001
  • Department: means the Department of Agriculture and Consumer Services. See Florida Statutes 582.01
  • Department: means the Department of Business and Professional Regulation. See Florida Statutes 471.005
  • Department: means the Department of Agriculture and Consumer Services of the state or its authorized representative. See Florida Statutes 586.02
  • Dependent: A person dependent for support upon another.
  • Devise: To gift property by will.
  • Director: means the director of the Division of Animal Industry of the Department of Agriculture and Consumer Services. See Florida Statutes 585.01
  • Discovery: Lawyers' examination, before trial, of facts and documents in possession of the opponents to help the lawyers prepare for trial.
  • district: when used in this chapter means and includes a "soil and water conservation district. See Florida Statutes 582.01
  • Division: means the Division of Animal Industry of the Department of Agriculture and Consumer Services. See Florida Statutes 585.01
  • Domestic animal: shall include any equine or bovine animal, goat, sheep, swine, domestic cat, dog, poultry, ostrich, emu, rhea, or other domesticated beast or bird. See Florida Statutes 585.01
  • Emergency: means any situation in which the department has declared a pest, a communicable, contagious, or infectious disease of animals, or the presence of biological or chemical residue to be a public nuisance or any situation in which, in the opinion of the department, a pest, disease, or residue endangers or threatens the animals or citizens of the state. See Florida Statutes 585.01
  • Engineer: includes the terms "professional engineer" and "licensed engineer" and means a person who is licensed to engage in the practice of engineering under this chapter. See Florida Statutes 471.005
  • Engineer intern: means a person who has graduated from an engineering curriculum approved by the board and has passed the fundamentals of engineering examination as provided by rules adopted by the board. See Florida Statutes 471.005
  • Engineering: includes the term "professional engineering" and means any service or creative work, the adequate performance of which requires engineering education, training, and experience in the application of special knowledge of the mathematical, physical, and engineering sciences to such services or creative work as consultation, investigation, evaluation, planning, and design of engineering works and systems, planning the use of land and water, teaching of the principles and methods of engineering design, engineering surveys, and the inspection of construction for the purpose of determining in general if the work is proceeding in compliance with drawings and specifications, any of which embraces such services or work, either public or private, in connection with any utilities, structures, buildings, machines, equipment, processes, work systems, projects, and industrial or consumer products or equipment of a mechanical, electrical, hydraulic, pneumatic, or thermal nature, insofar as they involve safeguarding life, health, or property; and includes such other professional services as may be necessary to the planning, progress, and completion of any engineering services. See Florida Statutes 471.005
  • 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.
  • Fair market value: The price at which an asset would change hands in a transaction between a willing, informed buyer and a willing, informed seller.
  • Felony: A crime carrying a penalty of more than a year in prison.
  • 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.
  • Fraud: Intentional deception resulting in injury to another.
  • Garbage: means all refuse matter, animal or vegetable, byproducts of a restaurant, kitchen, or slaughterhouse; and shall include every accumulation of animal, fruit, or vegetable matter, liquid, or otherwise. See Florida Statutes 585.01
  • Gift: A voluntary transfer or conveyance of property without consideration, or for less than full and adequate consideration based on fair market value.
  • 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
  • Grantor: The person who establishes a trust and places property into it.
  • Honey: means the natural food product resulting from the harvest of nectar or honeydew by honeybees and the natural activities of the honeybees in processing nectar or honeydew. See Florida Statutes 586.02
  • Honeybee pest: means an insect, mite, or other arthropod or a bacterium, fungus, virus, microsporidium, nematode, or other organism that damages or causes abnormalities to honeybees, colonies of honeybees, or beeswax. See Florida Statutes 586.02
  • Honeybee products: means honey, beeswax, pollen, propolis, and other products resulting from the activities of honeybees. See Florida Statutes 586.02
  • Honeydew: means a sweet substance found on leaves of plants, usually a secretion from homopterous insects. See Florida Statutes 586.02
  • Injunction: An order of the court prohibiting (or compelling) the performance of a specific act to prevent irreparable damage or injury.
  • insured: as used in this part , shall not be construed as preventing a person other than the insured with a proper insurable interest from making application for and owning a policy covering the insured or from being entitled under such a policy to any indemnities, benefits, and rights provided therein. See Florida Statutes 627.631
  • 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.
  • Lease: A contract transferring the use of property or occupancy of land, space, structures, or equipment in consideration of a payment (e.g., rent). Source: OCC
  • License: means the licensing of engineers to practice engineering in this state. See Florida Statutes 471.005
  • Lien: A claim against real or personal property in satisfaction of a debt.
  • Livestock: means grazing animals, such as cattle, horses, sheep, swine, goats, other hoofed animals, ostriches, emus, and rheas which are raised for private use or commercial purposes. See Florida Statutes 585.01
  • Management corporation: means the Florida Engineers Management Corporation. See Florida Statutes 471.005
  • minor: includes any person who has not attained the age of 18 years. See Florida Statutes 1.01
  • Misdemeanor: Usually a petty offense, a less serious crime than a felony, punishable by less than a year of confinement.
  • Mortgage: The written agreement pledging property to a creditor as collateral for a loan.
  • Nectar: means a sweet solution secreted by the plant extra floral glands (nectaries) or by any part of the flower. See Florida Statutes 586.02
  • NESHAP: means the National Emission Standards for Hazardous Air Pollutants, 40 C. See Florida Statutes 469.001
  • NIOSH: means the National Institute for Occupational Safety and Health. See Florida Statutes 469.001
  • Nolo contendere: No contest-has the same effect as a plea of guilty, as far as the criminal sentence is concerned, but may not be considered as an admission of guilt for any other purpose.
  • 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.
  • Onsite supervisor: means a person who works under the direction of a licensed asbestos contractor and provides supervision of abatement activities at the abatement project site at all times when such activities are being performed. See Florida Statutes 469.001
  • Operation and maintenance plan: means a set of work practices and procedures undertaken to clean up previously released asbestos fibers, prevent future release of fibers by minimizing disturbance or damage to asbestos-containing materials, or monitor the condition of the asbestos-containing materials. See Florida Statutes 469.001
  • OSHA: means the Occupational Safety and Health Administration. See Florida Statutes 469.001
  • Owner: shall include any owner, custodian, or other person in charge of any animal, domestic or otherwise. See Florida Statutes 585.01
  • Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
  • Pathogenic organisms: means microorganisms, such as bacteria, viruses, rickettsia, etc. See Florida Statutes 585.01
  • person: includes individuals, children, firms, associations, joint adventures, partnerships, estates, trusts, business trusts, syndicates, fiduciaries, corporations, and all other groups or combinations. See Florida Statutes 1.01
  • Personal property: All property that is not real property.
  • Plea: In a criminal case, the defendant's statement pleading "guilty" or "not guilty" in answer to the charges, a declaration made in open court.
  • political subdivision: include counties, cities, towns, villages, special tax school districts, special road and bridge districts, bridge districts, and all other districts in this state. See Florida Statutes 1.01
  • Probable cause: A reasonable ground for belief that the offender violated a specific law.
  • Probation: A sentencing alternative to imprisonment in which the court releases convicted defendants under supervision as long as certain conditions are observed.
  • Project designer: means a person who works under the direction of a licensed asbestos consultant and engages in the design of project specifications for asbestos abatement projects. See Florida Statutes 469.001
  • Prosecute: To charge someone with a crime. A prosecutor tries a criminal case on behalf of the government.
  • Quarantine: means a strict isolation imposed on animals, or premises or other defined geographic areas, to prevent the spread of disease or pests. See Florida Statutes 585.01
  • Quorum: The number of legislators that must be present to do business.
  • Real property: Land, and all immovable fixtures erected on, growing on, or affixed to the land.
  • Recourse: An arrangement in which a bank retains, in form or in substance, any credit risk directly or indirectly associated with an asset it has sold (in accordance with generally accepted accounting principles) that exceeds a pro rata share of the bank's claim on the asset. If a bank has no claim on an asset it has sold, then the retention of any credit risk is recourse. Source: FDIC
  • Regulated article: means any article capable of transporting a honeybee pest or an unwanted race of honeybees. See Florida Statutes 586.02
  • Remainder: An interest in property that takes effect in the future at a specified time or after the occurrence of some event, such as the death of a life tenant.
  • Restitution: The court-ordered payment of money by the defendant to the victim for damages caused by the criminal action.
  • Secretary: means the Secretary of Business and Professional Regulation. See Florida Statutes 471.005
  • 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.
  • soil and water conservation district: means a governmental subdivision of this state and a body corporate and politic, organized in accordance with the provisions of this chapter for the purpose, with the powers, and subject to the provisions set forth in this chapter. See Florida Statutes 582.01
  • Statute: A law passed by a legislature.
  • Statute of limitations: A law that sets the time within which parties must take action to enforce their rights.
  • Subpoena: A command to a witness to appear and give testimony.
  • Supervisor: means a member of the governing body of a district who is elected in accordance with the provisions of this chapter. See Florida Statutes 582.01
  • Survey: means the process of inspecting a facility for the presence of asbestos-containing materials to determine the location and condition of asbestos-containing materials prior to transfer of property, renovation, demolition, or maintenance projects which may disturb asbestos-containing materials. See Florida Statutes 469.001
  • Technical council: means the Animal Industry Technical Council. See Florida Statutes 585.01
  • Testimony: Evidence presented orally by witnesses during trials or before grand juries.
  • Training-course provider: means an entity or any of its agents engaged in providing training courses required by this chapter. See Florida Statutes 469.001
  • Trustee: A person or institution holding and administering property in trust.
  • Unwanted race of honeybees: means those natural, genetically isolated subspecies of honeybees which beyond a reasonable doubt can inflict damage to people or animals greater than managed or feral honeybees commonly utilized in North America. See Florida Statutes 586.02
  • veteran: means a person who served in the active military, naval, or air service and who was discharged or released under honorable conditions only or who later received an upgraded discharge under honorable conditions, notwithstanding any action by the United States Department of Veterans Affairs on individuals discharged or released with other than honorable discharges. See Florida Statutes 1.01
  • Violative levels: means levels above the tolerances established by the United States Food and Drug Administration or the United States Environmental Protection Agency, as adopted by department rule. See Florida Statutes 585.01
  • writing: includes handwriting, printing, typewriting, and all other methods and means of forming letters and characters upon paper, stone, wood, or other materials. See Florida Statutes 1.01