Florida Statutes, Rules, and Regulations Pertinent to Health Insurance Exam

Florida Statutes, Rules, and Regulations Pertinent to Health Insurance Exam What is a dependent? - answerSomeone replying on the insured for support What does exempt mean? - answerNot subject to obligation What does grandfathered mean? - answerExempt from a new law or regulation What is a Guaranteed Renewable Policy? - answerA policy written on a noncancellable basis with the guaranteed right to renew. What is an Indemnity Contract? - answerPays health policy benefits to the insured based on the predetermined, fixed rate, regardless of the actual expense incurred. What does nonrenewable mean? - answerTerminate an insured policy at its expiration date. Nongrandfathered health plans are.... - answerHealth insurance policies or HMO contracts that do not provide the creditable coverage benefits What are all 10 health plans available in FL? - answer- basic medical expense - basic physicians (non surgical) expense - major medical expense - supplemental major medical - comprehensive major medical plans - health maintenance organization (HMO) - preferred providers organization (PPO) - exclusive provider organization - prepaid limited health service organization - group health insurance plans Who cannot change the policy or waive any of its provisions in FL? Who can approve changes? - answerProducers; Executive officer of the insurer