Exams / Florida Health Insurance License / Fla. Stat. §627.641
Fla. Stat. §627.641 — what it says, and how the exam tests it
This section is cited by 2 of our practice questions and is tested on 2 exams including the Florida Health Insurance License.
The text
627.641 Coverage for newborn children. — (1) A health insurance policy that provides coverage on an expense-incurred basis for a member of the family of the insured or subscriber shall, as to the family member’s coverage, also provide that the health insurance benefits applicable for children will be payable with respect to a newborn child of the insured or subscriber, or covered family member of the insured or subscriber, from the moment of birth. However, with respect to a newborn child of a covered family member other than the spouse of the insured or subscriber, the coverage for the newborn child terminates 18 months after the birth of the newborn child. (2) The coverage for newborn children required by this section consists of coverage for injury or sickness, including the necessary care or treatment of medically diagnosed congenital defects, birth abnormalities, or prematurity, and transportation costs of the newborn to and from the nearest available facility appropriately staffed and equipped to treat the newborn’s condition, when such transportation is certified by the attending physician as necessary to protect the health and safety of the newborn child. The coverage of such transportation costs may not exceed the usual and customary charges, up to $1,000. (3) This section does not apply to disability income or hospital indemnity policies or to normal maternity policy provisions applicable to the mother. (4) A policy may require the insured, subscriber, or covered family member to notify the insurer of the birth of a child within a time period, as specified in the policy, of not less than 30 days after the birth. If timely notice is given, the insurer may not charge an additional premium for coverage of the newborn child for the duration of the notice period. If timely notice is not given, the insurer may charge an additional premium from the date of birth. The insurer may not deny coverage for a child due to the failure of the insured to timely notify the insurer of the birth of the child. (5) If the policy does not require the insured to notify the insurer of the birth of a child within a specified time period, the insurer may not deny coverage for such child or retroactively charge the insured an additional premium for such child. However, the insurer may prospectively charge the insured an additional premium for the child if the insurer…
Public record. Read the full, current section at the official source: www.leg.state.fl.us
How it comes up on the exam
Practice questions written from this section — answers and explanations are in the drill.
- Under Florida law, what is the minimum time period a health insurance policy must allow an insured to notify the insurer of the birth of a newborn child?
drill Florida Statutes, Rules and Regulations Pertinent to Health Insurance → - Under Florida law, coverage for newborn children under an individual health policy includes transportation costs to the nearest facility equipped to treat the newborn. What is the maximum coverage for such transportation costs?
drill Florida Statutes, Rules and Regulations Pertinent to Health Insurance →