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FL S2508
Bill
AI Summary
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Removes requirement that dependent eligibility verification contracts be contingency-based; compensation capped at historical claim costs for disenrolled dependents from prior 12 months.
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Requires division to notify subscribers of dependent eligibility rules by September 1, 2017, and hold them harmless for past claims of ineligible dependents removed from coverage before December 1, 2017.
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Specifies documentation requirements for dependent eligibility verification including marriage certificates, birth certificates, adoption papers, and federal tax return transcripts; allows foreign-born subscribers to submit affidavits if unable to obtain documents.
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Revises prescription drug program to allow retail, mail order, and specialty pharmacies to be reimbursed as established by contract; establishes 30-day supply limit for retail pharmacy fills and 90-day limit for mail order and maintenance drug fills.
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Updates copayment amounts for Standard Plan and coinsurance percentages for High Deductible Plan effective July 1, 2017; requires department to maintain lists of generic, preferred brand name, and nonpreferred brand name drugs.
Legislative Description
Division of State Group Insurance
Last Action
Chapter No. 2017-127, companion bill(s) passed, see SB 2510 (Ch. 2017-128), SB 2500 (Ch. 2017-70)
6/19/2017