FL S0162

Prohibits health insurers from retroactively denying claims due to 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, 2019.

Prohibits health insurers from retroactively denying claims due to insured ineligibility more than 1 year after the date of claim payment.

Prohibits health maintenance organizations from retroactively denying claims due to 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, 2019, excluding Medicaid managed care plans.

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

Effective date: July 1, 2018.