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LESSON 19: FLORIDA LAWS AND RULES PERTINENT TO LIFE AND HEALTH INSURANCE

The following subjects are contained within Lesson 19:

Description: Law3Florida Insurance Regulation - State Legislature; Department of Financial Services; Commissioner of the Office of Insurance Regulation (Admitted and Nonadmitted Insurance Companies, Certificate of Authority); State Court System

Insurers - Leeway Provision; Legal Reserve Requirement; Unauthorized Entities

Marketing Practices - Agents' Responsibilities; Agents' Responsibilities to the Principal; Agents' Responsibilities to Policyowners; Notice of Replacement (Churning, Free Look, Buyer's Guide and Policy Summary)

Code of Ethics - Agent Ethics (Education, Confidentiality, Disclosure, Informed, Loyalty)

Policy Clauses and Provisions - Preexisting Conditions; Free Look; Grace Period; Mental and Nervous Disorders; Handicapped Children; Newborn Children (Newborn Hearing Screening); Coordination of Benefits; Alcoholism and Drug Dependency; Ambulatory Surgical Centers; Dentists; Optometrists and Podiatrists; Chiropractic Treatment; Bones and Joints of the Jaw and Facial Region; Diabetes; Maternity; Breast Cancer and Mastectomies; Cleft Lip and Palate; Health Insurance Portability and Accountability Act of 1996 (HIPAA) (Mental Health Parity, Maternity Coverage, Guaranteed Renewability, Preexisting Conditions, Special Enrollment Periods)

Group Life Insurance - Certificate of Coverage; Eligibility (Employer-Employee Groups, Labor Unions, Trustee Groups, Debtor Groups, Association Groups, Credit Unions, Dependent Groups); Mini-COBRA

Par and Nonpar Policies

Retirement Plans - Vesting Schedules; Cliff Vesting; Graded Vesting; Tax Treatment

Flexible Life Products - Variable Life Insurance; Universal Life Insurance

Types of Health Plans - HMO; PPO; EPO; PLHSO; Group Accident and Health; Noncontributory Plans; Extension of Benefits; Exclusions; Noncancelable Policies

Florida Employee Health Care Access Act - Modified Community Rating; Composite Rating

Florida Health Insurance Plan (FCHA) - Florida Comprehensive Health Association (FCHA); Florida Health Insurance Plan

Small Employers Access Program

Cover Florida Policy

Lesson Review - Quiz


The information contained in Lessons 19 and 20 can be found in
Unit 4 and Part IV (Units 26 through 30) of the Florida study manual.