Exams / Florida Health Insurance License / Fla. Stat. §627.6571

Fla. Stat. §627.6571 — what it says, and how the exam tests it

This section is cited by 6 of our practice questions and is tested on 2 exams including the Florida Health Insurance License.

The text

627.6571 Guaranteed renewability of coverage. — (1) Except as otherwise provided in this section, an insurer that issues a group health insurance policy must renew or continue in force such coverage at the option of the policyholder. (2) An insurer may nonrenew or discontinue a group health insurance policy based only on one or more of the following conditions: (a) The policyholder has failed to pay premiums or contributions in accordance with the terms of the policy or the insurer has not received timely premium payments. (b) The policyholder has performed an act or practice that constitutes fraud or made an intentional misrepresentation of material fact under the terms of the policy. (c) The policyholder has failed to comply with a material provision of the plan which relates to rules for employer contributions or group participation. (d) The insurer is ceasing to offer a particular type of coverage in a market in accordance with subsection (3). (e) In the case of an insurer that offers health insurance coverage through a network plan, there is no longer any enrollee in connection with such plan who lives, resides, or works in the service area of the insurer or in the area in which the insurer is authorized to do business. (f) In the case of health insurance coverage that is made available only through one or more bona fide associations as defined in subsection (5) or through one or more small employer health alliances as described in s. 627.654(1)(b), the membership of an employer in the association or in the small employer health alliance, on the basis of which the coverage is provided, ceases, but only if such coverage is terminated under this paragraph uniformly without regard to any health-status-related factor that relates to any covered individuals.

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.

  1. Under Florida law, an insurer may nonrenew a group health insurance policy when the policyholder has failed to comply with a material provision relating to which of the following?
    drill Florida Statutes, Rules and Regulations Pertinent to Health Insurance →
  2. Under Florida law, when an insurer offering group health coverage through a network plan finds that no enrollee lives, resides, or works in the service area, the insurer may take which action?
    drill Florida Statutes, Rules and Regulations Pertinent to Health Insurance →
  3. Under Florida law, which of the following is a valid reason for an insurer to nonrenew a group health insurance policy?
    drill Florida Statutes, Rules and Regulations Pertinent to Health Insurance →

Exams that test this section