unfair trade practice florida law regard hmo plans

Which of the following is not an unfair trade practice under Florida law with regard to HMO plans

This comprehensive publication provides quick access to every NAIC Model Law, Regulation, and Guideline. Included with every model is a state action page that cites each state's enacted model or similar legislation. Many models also include a legislative history (Proceedings Citations) that explains why the model was adopted and why certain provisions were included.

Table of Contents, is available to guide you through the charts listed below (Related Charts: State Laws on Insurance Topics) which are included in the purchase of a Model Laws product and are made available for download via the NAIC's Account Manager. For those that do not have a subscription to the Model Laws product, individual charts are available for purchase by contacting NAIC Publications at 

Accident and Health Insurance

Model Numbers: 10-38

  • Title Of Model

    Model #

    Related Charts:
    State Laws On Insurance Topics

  • Individual Market Health Insurance Coverage Model Act

    • MO-36 (PDF)
    • ST-36 (PDF)
    • PH-36 (PDF)

    HB-15 - Mandated Benefits - Women's Health, Pregnancy, Fertility, Preventative Care
    HB-16 - Mandated Benefits - Women's Health
    HB-25 - Mandated Benefits - Mental Health
    HB-27 - Mandated Benefits - Substance Abuse and Addiction
    HB-50 - Genetic Testing for Insurance Coverage

Accident and Health Insurance Consumer Protection

Model Numbers: 40-55

  • Title Of Model

    Model #

    Related Charts:
    State Laws On Insurance Topics

Accident and Health Insurance Delivery Systems

Model Numbers: 68-98

  • Title Of Model

    Model #

    Related Charts:
    State Laws On Insurance Topics

  • The Single Health Care Voluntary Purchasing Alliance Model Act

    • MO-78 (PDF)
    • ST-78 (PDF)

    HG-30 - Health Insurance Purchasing Alliances

  • The Regional Health Care Voluntary Purchasing Alliance Model Act

    • MO-80 (PDF)
    • ST-80 (PDF)

    HG-30 - Health Insurance Purchasing Alliances

  • The Private Health Care Voluntary Purchasing Alliance Model Act

    • MO-82 (PDF)
    • ST-82 (PDF)

    HG-30 - Health Insurance Purchasing Alliances

Accident and Health Insurance Group Regulation

Model Numbers: 100-126

  • Title Of Model

    Model #

    Related Charts:
    State Laws On Insurance Topics

  • Small Group Market Health Insurance Coverage Model Act

    • MO-106 (PDF)
    • ST-106 (PDF)
    • PH-106 (PDF)

    HB-15 - Mandated Benefits - Women's Health, Pregnancy, Fertility, Preventative Care
    HB-16 - Mandated Benefits - Women's Health
    HB-25 - Mandated Benefits - Mental Health
    HB-27 - Mandated Benefits - Substance Abuse and Addiction
    HB-50 - Genetic Testing for Insurance Coverage

Accident and Health Insurance Rate and Policy Standards

Model Numbers: 134-190

  • Title Of Model

    Model #

    Related Charts:
    State Laws On Insurance Topics

  • Guidelines for Filing of Rates for Individual Health Insurance Forms

    • MO-134 (PDF)
    • ST-134 (PDF)

    HA-10 - Filing Requirements Health Insurance Forms and Rates

  • Restatement of UPPL in Simplified Language

    • MO-185 (PDF)

    MC-25 - Readability Requirements

  • Regulation for Uniform Definitions and Standardized Methodologies for Calculation of the Medical Loss Ratio for Plan Years 2011, 2010 and 2013 per Section 2718(b) of the Public Health Service Act

    • MO-190 (PDF)
    • PH-190 (PDF)

Accounting

Model Numbers: 200-205

  • Title Of Model

    Model #

    Related Charts:
    State Laws On Insurance Topics

  • Separate Accounts Funding Guaranteed Minimum Benefits Under Group Contracts Model Regulation

    • MO-200 (PDF)
    • ST-200 (PDF)
    • PH-200 (PDF)

    LI-20 - Form Filing Requirements Life Insurance Policies

Agents/Brokers/Producers

Model Numbers: 218-230

  • Title Of Model

    Model #

    Related Charts:
    State Laws On Insurance Topics

  • Producer Licensing Model Act

    • MO-218 (PDF)
    • ST-218 (PDF)

    PR-15 - Compensation Disclosure Requirements for Producers
    PR-20 - Producer Education and Examination Requirements
    PR-30 - Fingerprint Requirements for Licensing
    PR-60 - Producers' Fiduciary Responsibilities—Premiums
    PR-70 - Producers' Ability to Charge Fees and Collect Commissions

  • Prevention of Illegal MEWAs and Other Illegal Health Insurers Model Regulation

    • MO-220 (PDF)
    • ST-220 (PDF)
    • PH-220 (PDF)

    PR-20 - Producer Education and Examination Requirements
    HA-95 - MEWAs and METs Provisions

  • Public Adjuster Licensing Model Act

    • MO-228 (PDF)
    • ST-228 (PDF)
    • PH-228 (PDF)

    PR-20 - Producer Education and Examination Requirements
    PR-30 - Fingerprint Requirements for Licensing
    PL-40 - Adjuster Licensing Requirements
    MC-90 - State Laws on Records Maintenance

Annuities/Variable Contracts

Model Numbers: 235-278

  • Title Of Model

    Model #

    Related Charts:
    State Laws On Insurance Topics

  • Variable Life Insurance Model Regulation (includes commentary)

    • MO-270 (PDF)
    • ST-270 (PDF)

    LI-20 - Form Filing Requirements Life Insurance Policies

  • Suitability in Annuity Transactions Model Regulation

    • MO-275 (PDF)
    • ST-275 (PDF)
    • PH-275 (PDF)

    PR-20 - Producer Education and Examination Requirements
    LI-35 - Annuity Disclosure Provisions
    LI-55 - Suitability of Sales of Life Insurance and Annuities

Company Organization, Management, Securities

Model Numbers: 280-356

  • Title Of Model

    Model #

    Related Charts:
    State Laws On Insurance Topics

  • Investments of Insurers Model Act (Defined Limits Version)

    • MO-280 (PDF)
    • ST-280 (PDF)

    CF-50 - Limitations on Insurers' Investments

  • Investments in Medium Grade and Lower Grade Obligations Model Regulation

    • MO-340 (PDF)
    • ST-340 (PDF)

    I-CF-50 - Limitations on Insurers' Investments

Credit Insurance

Model Numbers: 360-375

  • Title Of Model

    Model #

    Related Charts:
    State Laws On Insurance Topics

Examinations

Model Numbers: 385-395

  • Title Of Model

    Model #

    Related Charts:
    State Laws On Insurance Topics

Health Maintenance Organizations

Model Numbers: 430-432

  • Title Of Model

    Model #

    Related Charts:
    State Laws On Insurance Topics

  • Health Maintenance Organization Model Act

    • MO-430 (PDF)
    • ST-430 (PDF)
    • PH-430 (PDF)

    HM-10 - Departmental Regulation of HMOs
    HM-20 - Open Enrollment Periods for HMOs
    HM-30 - HMO Net Worth and Deposit Requirements

  • Model Regulation to Implement Rules Regarding Contracts and Services of Health Maintenance Organizations

    • MO-432 (PDF)
    • ST-432 (PDF)

    HM-10 - Departmental Regulation of HMOs
    HM-20 - Open Enrollment Periods for HMOs
    HM-30 - HMO Net Worth and Deposit Requirements

Holding Companies

Model Numbers: 440-450

  • Title Of Model

    Model #

    Related Charts:
    State Laws On Insurance Topics

Insider Trading and Proxies

Model Numbers: 460-500

  • Title Of Model

    Model #

    Related Charts:
    State Laws On Insurance Topics

  • Regulations Adopted Pursuant to an Act Concerning the Insider Trading of Domestic Stock Insurance Company Equity Securities

    • MO-480 (PDF)
    • ST-480 (PDF)

Insolvency

Model Numbers: 505-558

  • Title Of Model

    Model #

    Related Charts:
    State Laws On Insurance Topics

  • Life and Health Insurance Guaranty Association Model Act

    • MO-520 (PDF)
    • ST-520 (PDF)
    • PH-520 (PDF)

    IN-10 - Life and Health Guaranty Fund Laws
    IN-15 - Life and Health Guaranty Funds Triggering Provisions
    IN-50 - Health Maintenance Organization Coverage by Guaranty Associations
    TX-60 - Premium Tax Credits for Guaranty Association Assessments

  • Property and Casualty Insurance Guaranty Association Model Act

    • MO-540 (PDF)
    • ST-540 (PDF)
    • PH-540 (PDF)

    IN-30 - Property and Casualty Guaranty Fund Laws
    IN-35 - Property and Casualty Guaranty Triggering Provisions
    TX-60 - Premium Tax Credits for Guaranty Association Assessments

Life Insurance

Model Numbers: 565-620

  • Title Of Model

    Model #

    Related Charts:
    State Laws On Insurance Topics

  • Life and Health Insurance Policy Language Simplification Model Act

    • MO-575 (PDF)
    • ST-575 (PDF)

    LI-20 - Form Filing Requirements Life Insurance Policies
    LI-30 - Life Insurance Disclosure Provisions
    MC-25 - Readability Requirements

  • Model Policy Loan Interest Rate Bill (An Act to Regulate Interest Rates on Life Insurance Policy Loans)

    • MO-590 (PDF)
    • ST-590 (PDF)

Limited Lines

Model Numbers: 628-633

  • Title Of Model

    Model #

    Related Charts:
    State Laws On Insurance Topics

  • Title Insurers Model Act

    • MO-628 (PDF)
    • ST-628 (PDF)

    CF-90 - Reserve Requirements for Title Insurers
    MC-90 - State Laws on Records Maintenance

Long-Term Care Insurance

Model Numbers: 640-643

  • Title Of Model

    Model #

    Related Charts:
    State Laws On Insurance Topics

  • Long-Term Care Insurance Model Regulation

    • MO-641 (PDF)
    • ST-641 (PDF)
    • PH-641 (PDF)

    HS-10 - Long-Term Care Insurance Act Provisions
    HS-15 - Long-Term Care Insurance Regulation Provisions
    PC-50 - Terrorism and War Risks Exclusion

Medicare Supplement Insurance

Model Numbers: 650-660

  • Title Of Model

    Model #

    Related Charts:
    State Laws On Insurance Topics

  • Model Regulation to Implement the NAIC Medicare Supplement Insurance Minimum Standards Model Act

    • MO-651 (PDF)
    • ST-651 (PDF)
    • PH-651 (PDF)

    HB-50 - Genetic Testing for Insurance Coverage

  • NAIC Model Rules Governing Advertisements of Medicare Supplement Insurance with Interpretive Guidelines

    • MO-660 (PDF)
    • ST-660 (PDF)

Miscellaneous

Model Numbers: 665-698

  • Title Of Model

    Model #

    Related Charts:
    State Laws On Insurance Topics

  • Insurance Data Security Model Law

    • MO-668 (PDF)
    • ST-668 (PDF)
    • PH-668 (PDF)

    MC-30 - Insurance Privacy Protection in Response to the Gramm-Leach-Bliley Act
    RE-40 - General State Privacy Breach/Consumer Protection Laws

  • NAIC Insurance Information and Privacy Protection Model Act

    • MO-670 (PDF)
    • ST-670 (PDF)

    MC-30 - Insurance Privacy Protection in Response to the Gramm-Leach-Bliley Act

  • Privacy of Consumer Financial and Health Information Regulation

    • MO-672 (PDF)
    • ST-672 (PDF)
    • PH-672 (PDF)

    MC-30 - Insurance Privacy Protection in Response to the Gramm-Leach-Bliley Act

  • Standards for Safeguarding Customer Information Model Regulation

    • MO-673 (PDF)
    • ST-673 (PDF)

    MC-30 - Insurance Privacy Protection in Response to the Gramm-Leach-Bliley Act
    RE-40 - General State Privacy Breach/Consumer Protection Laws

  • Insurance Fraud Prevention Model Act

    • MO-680 (PDF)
    • ST-680 (PDF)
    • PH-680 (PDF)

    CA-90 - Statutes Making the Unauthorized Transaction of Insurance a Criminal Act
    MC-10 - Insurance Fraud Prevention Laws

  • Service Contracts Model Act

    • MO-685 (PDF)
    • ST-685 (PDF)

    PA-60 - Service Contracts, Motor Clubs and Other Extended Warranties

Property and Casualty Insurance

Model Numbers: 700-760

  • Title Of Model

    Model #

    Related Charts:
    State Laws On Insurance Topics

  • Property Insurance Declination, Termination and Disclosure Model Act

    • MO-720 (PDF)
    • ST-720 (PDF)

    MC-20 - Use of Credit Reports/Scoring in Underwriting
    MC-40 - Domestic Violence Laws
    MC-45 - Prohibitions Against Redlining and Other Geographic Discrimination

  • NAIC Automobile Insurance Declination, Termination and Disclosure Model Act

    • MO-725 (PDF)
    • ST-725 (PDF)

    PA-30 - Compulsory Motor Vehicle Insurance

  • Property and Casualty Insurance Policy Simplification Model Act

    • MO-730 (PDF)
    • ST-730 (PDF)

    MC-25 - Readability Requirements

  • Personal Lines Property and Casualty Insurance Policy Simplification Model Regulation

    • ST-731 (PDF)
    • MO-731 (PDF)

    MC-25 - Readability Requirements

  • Nonpersonal Lines Property and Casualty Insurance Policy Simplification Model Regulation

    • MO-732 (PDF)
    • ST-732 (PDF)

    MC-25 - Readability Requirements

Property and Casualty Insurance Rating Laws

Model Numbers: 777-777

  • Title Of Model

    Model #

    Related Charts:
    State Laws On Insurance Topics

  • Property and Casualty Commercial Rate and Policy Form Model Law (Condensed)

    • MO-777 (PDF)
    • ST-777 (PDF)

    PA-10 - Rate Filing Methods for Property/Casualty Insurance, Workers' Compensation, Title
    PA-15 - Form Filing Methods for Property/Casualty

Reinsurance

Model Numbers: 785-803

  • Title Of Model

    Model #

    Related Charts:
    State Laws On Insurance Topics

Standard Nonforfeiture and Valuation

Model Numbers: 805-830

  • Title Of Model

    Model #

    Related Charts:
    State Laws On Insurance Topics

  • NAIC Procedure for Permitting Same Minimum Nonforfeiture Standards for Men and Women Insured Under 1980 CSO and 1980 CET Mortality Tables

    • MO-811 (PDF)
    • ST-811 (PDF)

  • NAIC Model Rule Permitting Smoker/Nonsmoker Mortality Tables for Use in Determining Minimum Reserve Liabilities and Nonforfeiture Benefits

    • MO-812 (PDF)
    • ST-812 (PDF)

Unauthorized Insurance

Model Numbers: 840-872

  • Title Of Model

    Model #

    Related Charts:
    State Laws On Insurance Topics

  • Allocation of Surplus Lines and Independently Procurred Insurance Premium Tax on Multi-State Risks Model Regulation

    • MO-872 (PDF)
    • ST-872 (PDF)

    TX-55 - Direct Procurement Tax Rates

Unfair Trade Practices

Model Numbers: 880-920

  • Title Of Model

    Model #

    Related Charts:
    State Laws On Insurance Topics

  • Unfair Trade Practices Act

    • MO-880 (PDF)
    • ST-880 (PDF)
    • PH-880 (PDF)

    PA-70 - Producers' Ability to Charge Fees and Collect Commissions
    MC-20 - Use of Credit Reports/Scoring in Underwriting
    MC-40 - Domestic Violence Laws
    MC-45 - Prohibitions Against Redlining and Other Geographic Discrimination

  • Model Regulation for Complaint Records to be Maintained Pursuant to the NAIC Unfair Trade Practices Act

    • MO-884 (PDF)
    • ST-884 (PDF)

  • Model Regulation on Unfair Discrimination in Life and Health Insurance on the Basis of Physical or Mental Impairment

    • MO-887 (PDF)
    • ST-887 (PDF)

  • Unfair Discrimination Against Subjects of Abuse in Life Insurance Model Act

    • MO-896 (PDF)
    • ST-896 (PDF)

    MC-40 - Domestic Violence Laws

  • Unfair Discrimination Against Subjects of Abuse in Disability Income Insurance Model Act

    • MO-897 (PDF)
    • ST-897 (PDF)

    MC-40 - Domestic Violence Laws

  • Unfair Discrimination Against Subjects of Abuse in Property and Casualty Insurance

    • MO-898 (PDF)
    • ST-898 (PDF)

    MC-40 - Domestic Violence Laws

  • Unfair Claims Settlement Practices Act

    • MO-900 (PDF)
    • ST-900 (PDF)

    MC-50 - Claims Settlement Provisions
    MC-55 - Private Rights of Action for Unfair Claims Settlement Practices

  • Unfair Property/Casualty Claims Settlement Practices Model Regulation

    • MO-902 (PDF)
    • ST-902 (PDF)

    MC-50 - Claims Settlement Provisions
    MC-55 - Private Rights of Action for Unfair Claims Settlement Practices

  • Unfair Life, Accident and Health Claims Settlement Practices Model Regulation

    • MO-903 (PDF)
    • ST-903 (PDF)

    MC-50 - Claims Settlement Provisions
    MC-55 - Private Rights of Action for Unfair Claims Settlement Practices

Health Care Reform

Model Numbers: 929-929

  • Title Of Model

    Model #

    Related Charts:
    State Laws On Insurance Topics

NAIC Guidelines

Model Numbers: GDL-1077-GDL-1985

  • Title Of Model

    Model #

    Related Charts:
    State Laws On Insurance Topics

  • Registration and Regulation of Third-Party Administrators

    • GL-1090 (PDF)
    • ST-1090 (PDF)
    • PH-1090 (PDF)

    CA-10 - Annual and Quarterly Financial Reporting Requirements
    PL-20 - Third Party Administrator Licensure and Bond Requirements
    MC-90 - State Laws on Records Maintenance

  • Property and Casualty Model Rating Law (File and Use Version)

    • GL-1775 (PDF)
    • ST-1775 (PDF)

    PA-10 - Rate Filing Methods for Property/Casualty Insurance, Workers' Compensation, Title

  • Property and Casualty Model Rate and Policy Form Law Guideline

    • GL-1776 (PDF)
    • ST-1776 (PDF)

    PA-10 - Rate Filing Methods for Property/Casualty Insurance, Workers' Compensation, Title
    PA-15 - Form Filing Methods for Property/Casualty

  • Property and Casualty Model Rating Law (Prior Approval Version)

    • GL-1780 (PDF)
    • ST-1780 (PDF)
    • PH-1780 (PDF)

    PA-10 - Rate Filing Methods for Property/Casualty Insurance, Workers' Compensation, Title

  • Property and Casualty Model Rate and Policy Form Regulation Guideline

    • GL-1781 (PDF)
    • ST-1781 (PDF)
    • PH-1781 (PDF)

    PA-10 - Rate Filing Methods for Property/Casualty Insurance, Workers' Compensation, Title
    PA-15 - Form Filing Methods for Property/Casualty

Are there Hmos in Florida?

The first HMO was licensed in Florida in 1972.

What unfair trade practices involve?

Unfair business practices include misrepresentation, false advertising or representation of a good or service, tied selling, false free prize or gift offers, deceptive pricing, and noncompliance with manufacturing standards.

Which of the following does not apply to the Florida replacement rule?

Which of the following situations does NOT apply to the Florida Replacement Rule? Florida's Replacement Rule applies to all of these situations EXCEPT "An existing policyholder purchases an additional policy from the same insurer".

What is required in the Florida Employee Healthcare Access Act?

The Florida Health Care Access Act allows small businesses to provide group health insurance coverage for its employees on a guarantee-issue basis regardless of health circumstances, preexisting conditions, or claims history.

zusammenhängende Posts

What is the practice or activity carried on by an organization with the primary purpose of identifying and attracting potential employees quizlet?
Which of these is defined as any practice or activity carried on by the organization with the primary purpose of identifying and attracting potential employees?
Which one of the following statements best explains the benefits of international trade to nations?
International trade is the purchase, sale, or exchange of goods and services across national borders
Explain why there may be a trade off between high economic growth and low inflation in the economy
Identify each practice as promoting either the goal of openness or the goal of transparency.
What is the buying and selling of goods and services across national borders and among the people of different nations?
The practice of marketing goods and services through telephone contact is known as ________.
When answering the telephone the MA should first identify the practice and him or herself?
When one country has the ability to produce more of a product using the same amount of resources?

Toplist

Neuester Beitrag

Stichworte