FL S0102

Prohibits health insurers from retroactively denying claims based on insured ineligibility if the insurer verified eligibility at the time of treatment and provided an authorization number, effective for policies entered into or renewed on or after January 1, 2018.

Prohibits health insurers from retroactively denying claims based on insured ineligibility more than 1 year after the date of payment.

Prohibits health maintenance organizations from retroactively denying claims based on subscriber ineligibility if the HMO verified eligibility at the time of treatment and provided an authorization number, effective for contracts entered into or renewed on or after January 1, 2018, with an exemption for Medicaid managed care plans.

Prohibits health maintenance organizations from retroactively denying claims based on subscriber ineligibility more than 1 year after the date of payment.

Takes effect July 1, 2017.