FL H0217

Health insurers are prohibited from retroactively denying claims due to insured ineligibility for services rendered during the applicable grace period if the insurer verified eligibility at treatment and provided an authorization number (applies to policies entered into or renewed on or after January 1, 2019)

Health insurers cannot retroactively deny claims for insured ineligibility more than 1 year after the date of claim payment

Health maintenance organizations are prohibited from retroactively denying claims due to subscriber ineligibility for services rendered during the grace period if the HMO verified eligibility at treatment and provided an authorization number (applies to contracts entered into or renewed on or after January 1, 2019, excluding Medicaid managed care plans under chapter 409)

Health maintenance organizations cannot retroactively deny claims for subscriber ineligibility more than 1 year after the date of claim payment

The act takes effect July 1, 2018