Approval of health benefits coverage; financial assistance.
F.S. 409.817
in effectIn order for health insurance coverage to qualify for premium assistance payments for an eligible child under ss. 409.810-409.821, the health benefits coverage must:
(1)
Be certified by the Office of Insurance Regulation of the Financial Services Commission under s. 409.818 as meeting, exceeding, or being actuarially equivalent to the benchmark benefit plan;
(2)
Be guarantee issued;
(3)
Be community rated;
(4)
Not impose any preexisting condition exclusion for covered benefits;
(5)
Comply with the applicable limitations on premiums and cost sharing in s. 409.816;
(6)
Comply with the quality assurance and access standards developed under s. 409.820; and
(7)
Establish periodic open enrollment periods, which may not occur more frequently than quarterly.
Source: FL Statutes (Official Site)URL: https://www.flsenate.gov/Laws/Statutes/2025/Chapter409/AllFetched: 7/8/2026