State statute · Florida

Health maintenance contracts

Florida Statutes s. 641.31

Publisher: Florida Legislature
Edition: Official Florida Statutes 2024, retrieved 2026-08-25
Last checked: 2026-08-25
Status: Florida Statutes, public domain

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Publisher. Florida Legislature (flsenate.gov)

Status. Florida Statutes, public domain (state government work).

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Florida Statutes s. 641.31 - Health maintenance contracts is a state statute published by Florida Legislature (flsenate.gov). It is one of the Florida documents that insurance license exam questions are written from, including florida life & health practice questions. This page summarizes it and points to the official version, which is the text to rely on.

Sections cited in practice questions

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Fla. Stat. § 641.31 (Emergency Services Statement)
“Each health maintenance contract, certificate, or member handbook shall state that emergency services and care shall be provided to subscribers in emergency situations not permitting treatment through the health maintenance organization’s providers, without prior notification to and approval of the organization.”
Fla. Stat. § 641.31 (Subscriber Document Copy)
“Each subscriber shall be given a copy of the applicable health maintenance contract, certificate, or member handbook. Whichever document is provided to a subscriber shall contain all of the provisions and disclosures required by this section.”
Fla. Stat. § 641.31 (Waiver of Rights Prohibited)
“No contract shall contain any waiver of rights or benefits provided to or available to subscribers under the provisions of any law or rule applicable to health maintenance organizations.”
Fla. Stat. § 641.31(15)(a) (Grace Period Provision)
“All health maintenance contracts, certificates, and member handbooks shall contain the following provision: “Grace Period: This contract has a (insert a number not less than 10) day grace period. This provision means that if any required premium is not paid on or before the date it is due, it may...”
Fla. Stat. § 641.31(36) (Group Benefit Changes at Renewal)
“A health maintenance organization may increase the copayment for any benefit, or delete, amend, or limit any of the benefits to which a subscriber is entitled under the group contract only, upon written notice to the contract holder at least 45 days in advance of the time of coverage renewal. The...”
Fla. Stat. § 641.31(4) (Required Statement of Services and Limitations)
“Every health maintenance contract, certificate, or member handbook shall clearly state all of the services to which a subscriber is entitled under the contract and must include a clear and understandable statement of any limitations on the services or kinds of services to be provided, including any...”
Fla. Stat. § 641.31(33) (Direct Patient Access to Dermatological Services)
“Notwithstanding any provision of this section to the contrary, a health maintenance organization which offers dermatological services shall provide direct patient access, for office visits and minor procedures and testing, to a dermatologist who is under contract with the health maintenance...”
Fla. Stat. § 641.31(29) (Dependent Child Limiting Age and Disability Continuation)
“If a health maintenance contract provides that coverage of a dependent child of the subscriber terminates upon attainment of the limiting age for dependent children which is specified in the contract, the contract must also provide in substance that attainment of the limiting age does not terminate...”
Fla. Stat. § 641.31(10) (Alteration of Written Application)
“(10) No alteration of any written application for any health maintenance contract shall be made by any person other than the applicant without his or her written consent, except that insertions may be made by the health maintenance organization, for administrative purposes only, in such manner as...”
Fla. Stat. § 641.31(23) (Time Limit on Certain Defenses)
“(23) The contract shall include the following provision: “Time limit on certain defenses: Relative to a misstatement in the application, after 2 years from the issue date, only fraudulent misstatements in the application may be used to void the policy or deny any claim for loss incurred or...”
Fla. Stat. § 641.31(3)(a) (Filing of Contract and Handbook Form Changes)
“(3)(a) If a health maintenance organization desires to amend any contract with its subscribers or any certificate or member handbook, or desires to change any basic health maintenance contract, certificate, grievance procedure, or member handbook form, or application form where written application...”
Fla. Stat. § 641.31(43) (Direct Payment of Benefits to Providers)
“(43) Whenever, in any health maintenance organization claim form, a subscriber specifically authorizes payment of benefits directly to any contracted hospital, ambulance provider, physician, or dentist, the health maintenance organization shall make such payment to the designated provider of such...”

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Florida Statutes s. 641.31 - Health maintenance contracts is a state statute published by Florida Legislature (flsenate.gov). Edition: Official Florida Statutes 2024, retrieved 2026-08-25.

No. This page summarizes the document and links to the official version. Always rely on the text published by Florida Legislature (flsenate.gov) for the current law.

Practice questions for Florida Life & Health cite this document.

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