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Floridia Health Insurance Regulations
Floridia health insurance plans are not guaranteed to be issued. The Floridia state health insurance regulations allow individual health insurance policies to be turned down or denied. In the state of Floridia, health insurance companies are allowed to decline any application based on the applicant’s health history from the past or pre-existing health circumstances. The look back period for an applicant’s health history review is 24 months. The exclusionary period for pre-existing conditions is also 24 months as allowed by Floridia health insurance laws.
When an application is being reviewed by a Floridia health insurance company, the insurance company may do one of three things:
- Provide or offer health insurance with certain restrictions on any specified, pre-existing health conditions.
- Decline health insurance of any kind based on findings in the past health history review.
- Approve the applicant’s application with full coverage.
If Floridia health insurance coverage is approved, the health insurance company has to acknowledge any coverage from a previous health insurance policy and that has to be applied to the 24 month pre-existing exclusionary period. That previous coverage does not apply to any pre-existing condition waivers that may have been written and included in the policy.
Small Group Health Insurance Regulations
In the state of Floridia a “small group” is defined as any employer that employs one to fifty employees. A small group having just one employee is entitled to enroll in a Floridia health insurance plan that is guaranteed to issue coverage for the duration of open enrollment periods. During the month of August, Floridia health insurance applications are accepted. August is the only month whereas Floridia has an open enrollment period. This open enrollment period happens annually. These Floridia small group health plans are issued with an effective date of October 1.
Floridia health insurance for small groups are guaranteed to be issued for groups of two to fifty employees. A waiting period can be imposed by employers before allowing new employees to take part in the company’s group health insurance plan. Floridia health insurance plans for small groups are guaranteed coverage and they cannot be denied or changed at all based on an employee’s past or present health status. Floridia health insurance regulations allow for no more than a 15% rate adjustment and is based on the health conditions of the employees enrolling in the group as a whole.
COBRA Alternative
Employers with more than twenty employees must adhere to Federal COBRA laws. Floridia also has a mini-COBRA rule that applies to groups of 20 or less. The mini-COBRA regulation is exactly the same as Federal COBRA regulations except that if someone becomes disabled while exercising their COBRA benefits, that person is allowed to continue their coverage for another 11 months. Amazingly, in order to qualify for COBRA coverage, an employee is only required to be enrolled in the employee health plan for one day. Coverage has to be established within days from the employee’s termination date. Those that may deplete their COBRA benefits and are not qualified for standard health insurance coverage may elect to take advantage of a conversion plan.
To learn more about Floridia health insurance, visit the website of the Floridia Department of Regulatory Agencies, Insurance Division.
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