Other Agencies and Organizations, Departmental  


  • Florida Health Maintenance Organization Consumer Assistance Plan

    Notice to Third Party Administrators

    The Florida Health Maintenance Organization Consumer Assistance Plan (HMOCAP) is organized pursuant to Part IV of Chapter 631, Florida Statutes, to provide or arrange for continuation coverage for commercial members of an insolvent HMO. The HMOCAP is interested in identifying a Third Party Administrator (TPA) or health insurance company to provide administrative services on behalf of the HMOCAP. The selected TPA/insurance company must have proven ability to manage health insurance or health maintenance organization plans and have the resources and capacity to administer the obligations of the insolvent HMO including premium billing and collection, claim adjudication and network administration. Interested TPAs/insurance companies should forward the following initial information to the attention of the Plan Manager, Florida HMO Consumer Assistance Plan at 106 East College Avenue, Suite 1200, Tallahassee, FL 32301 by February 27, 2009:

              Copy of Florida Certificate of Authority

              Copies of most recent two audited financial statements

              Detailed information outlining experience and capabilities

              Access to provider networks in Florida

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