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Florida Administrative Code (Last Updated: April 18, 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) Charges as referred to in these rules mean both the periodic charges, defined herein and any one-time processing fee as provided in section 25636.208, F.S.
27(2) Contract or Form means the document, by whatever name called; such as agreement, certificate or handbook which describes the benefits under the Discount Plan.
52(3) Discount Plan (Plan) means a business arrangement or contract in which a person, in exchange for fees, dues, charges, or other consideration, provides access for Plan members to providers of medical services and the right to receive one or more medical services from those providers at a discount.
101(4) DPO is the Discount Plan Organization defined in section 111636.202(2), F.S., 113that contracts with providers, provider networks, or other DPOs, to provide discounted medical services to Plan members and determines the charges to the members.
137(5) Periodic Charges as referred to in these rules mean any fees, dues, charges, or other considerations paid by or on behalf of a member for the right of the member to receive benefits of a Plan.
174Rulemaking Authority 176636.232 FS. 178Law Implemented 180636.202 FS. 182History–New 4-7-05, Amended 4-11-19.
