To adopt the standard disclosure form required to be used in the Cover Florida Health Care Access Program established pursuant to Section 408.9091, Florida Statutes.

DEPARTMENT OF FINANCIAL SERVICES
OIR – Insurance Regulation

RULE NO: RULE TITLE
69O-149.303: Form and Marketing Standards
PURPOSE AND EFFECT: To adopt the standard disclosure form required to be used in the Cover Florida Health Care Access Program established pursuant to Section 408.9091, Florida Statutes.
SUMMARY: This rule adopts the standard disclosure form required by the Cover Florida Health Care Access Program established pursuant to Section 408.9091, Florida Statutes. Form OIR-B2-2004 (New 3/2010) is required to be provided to consumers purchasing Cover Florida Plan Coverage. The form provides important disclosures concerning terms of renewal, termination of coverage, portability, grace period, reinstatement, premium changes, preexisting conditions, cost sharing requirements and provides a schedule of services that are not covered and specific plan exclusions.
SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS: No Statement of Estimated Regulatory Cost was prepared.
Any person who wishes to provide information regarding a statement of estimated regulatory costs, or provide a proposal for a lower cost regulatory alternative must do so in writing within 21 days of this notice.
SPECIFIC AUTHORITY: 624.308, 408.9091(11) FS.
LAW IMPLEMENTED: 624.307(1), 408.9091(4) FS.
IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE HELD AT THE DATE,TIME AND PLACE SHOWN BELOW(IF NOT REQUESTED, THIS HEARING WILL NOT BE HELD):
DATE AND TIME: Monday, May 3, 2010, 1:00 p.m.
PLACE: 116 Larson Building, 200 East Gaines Street, Tallahassee, Florida
Pursuant to the provisions of the Americans with Disabilities Act, any person requiring special accommodations to participate in this workshop/meeting is asked to advise the agency at least 5 days before the workshop/meeting by contacting: Gerry Smith, Life and Health Product Review, Office of Insurance Regulation, E-mail [e-mail]. If you are hearing or speech impaired, please contact the agency using the Florida Relay Service, 1(800)955-8771 (TDD) or 1(800)955-8770 (Voice).
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Gerry Smith, Life and Health Product Review, Office of Insurance Regulation, E-mail [e-mail]

THE FULL TEXT OF THE PROPOSED RULE IS:

69O-149.303 Cover Florida Plan Disclosure Form.

As required by Section 408.9091(4)(a)9., Florida Statutes, Plan enrollment material must include the standard disclosure form OIR-B2-2004 (New 3/2010) “Cover Florida Plan Disclosure Form” which is hereby adopted and incorporated by reference and is available and may be printed from the Office’s website:www.floir.com.

Rulemaking Authority 624.308, 408.9091(11) FS. Law Implemented 624.307(1), 408.9091(4) FS. History–New________.

NAME OF PERSON ORIGINATING PROPOSED RULE: Gerry Smith, Life and Health Product Review, Office of Insurance Regulation, E-mail [e-mail]
NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: The Financial Services Commission
DATE PROPOSED RULE APPROVED BY AGENCY HEAD: March 23, 2010
DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAW: October 9, 2009