FL H0659

Health plans are prohibited from declining to participate in filed claims under the statewide provider and health plan claim dispute resolution program, and failure to respond results in a default judgment against the health plan

Health plans that do not prevail in the Agency for Health Care Administration's claim dispute order must pay providers the ordered amount within 35 days or face penalties of up to $500 per day until paid

The agency must notify the appropriate licensure or certification entity within 7 days whenever a health plan fails to pay as required or violates a final order

Health insurance and health maintenance organization identification cards for state-regulated plans must display the letters "FL" on the back left-hand corner along with a QR code directing consumers to the Division of Consumer Services website, applicable to cards issued or reissued on or after January 1, 2025

The act takes effect January 1, 2025, and grants the Department of Financial Services rulemaking authority to update its consumer services website and hotline to assist insureds at an impasse with their insurers or HMOs