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Florida Administrative Code (Last Updated: October 28, 2024) |
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69. Department of Financial Services |
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69O. OIR – Insurance Regulation |
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69O-203. Prepaid Limited Health Service Organizations And Discount Medical Plan Organizations |
1(1) Such materials must comply with the standards of sections 11636.210 12and 212, F.S., and must be truthful and not misleading in fact or implication. Words or phrases shall be clear and understandable.
34(2) Deceptive Words, Phrases, or Illustrations Prohibited.
41(a) Words, phrases, or illustrations shall not be used in a manner through which they mislead or have the capacity or tendency to deceive or mislead.
67(b) No advertising shall give false information, contain untrue, deceptive, or misleading words, phrases, statements, references, or illustrations as to the contract benefits, health conditions covered, charges or processing fee.
97(c) An advertisement shall not contain descriptions of a contract limitation, exception, or reduction, worded in a positive manner to imply that it is a benefit. Words and phrases used in an advertisement to describe such contract limitations, exceptions, and reductions shall fairly and accurately describe the negative features of such limitations, exceptions, and reductions of the contract offered.
156(d) The term “insurance” may not be used as a descriptive term for DPO benefits. However, the term “insurance” may be used in a disclaimer of any relationship between DPO benefits and insurance including the disclosures required in section 195636.212, F.S.
197Rulemaking Authority 199636.232 FS. 201Law Implemented 203636.228 FS. 205History–New 4-7-05, Amended 4-11-19.
