Bill Text: FL S1660 | 2022 | Regular Session | Introduced
Bill Title: Dependent Eligibility for State Group Health Insurance Enrollment
Spectrum: Partisan Bill (Republican 1-0)
Status: (Failed) 2022-03-14 - Died in Governmental Oversight and Accountability [S1660 Detail]
Download: Florida-2022-S1660-Introduced.html
Florida Senate - 2022 SB 1660 By Senator Gruters 23-01227-22 20221660__ 1 A bill to be entitled 2 An act relating to dependent eligibility for state 3 group health insurance enrollment; amending s. 4 110.12301, F.S.; designating the Department of 5 Management Services, rather than the Division of State 6 Group Insurance, as the entity that contracts for 7 dependent eligibility services in the state group 8 insurance program; authorizing the department or the 9 contractor providing dependent eligibility 10 verification services to require certain information 11 from subscribers; deleting obsolete language; revising 12 the records retention schedule regarding documents 13 obtained during the dependent eligibility verification 14 process; providing an effective date. 15 16 Be It Enacted by the Legislature of the State of Florida: 17 18 Section 1. Subsections (1) and (2) of section 110.12301, 19 Florida Statutes, are amended to read: 20 110.12301 Competitive procurement of postpayment claims 21 review services and dependent eligibility verification services; 22 public records exemption.— 23 (1) The Division of State Group Insurance is directed to 24 competitively procure postpayment claims review services for the 25 state group health insurance plans established pursuant to s. 26 110.123. Compensation under the contract mustshallbe paid from 27 amounts identified as claim overpayments that are made by or on 28 behalf of the health plans and that are recovered by the vendor. 29 The vendor may retain that portion of the amount recovered as 30 provided in the contract. The contract must require the vendor 31 to maintain all necessary documentation supporting the amounts 32 recovered, retained, and remitted to the division.; and33 (2) The Department of Management ServicesDivision of State34Group Insuranceis directed tocompetitively procure acontract 35 for dependent eligibility verification services for the state 36 group insurance program; however, compensation under the37contract may not exceed historical claim costs for the prior 1238months for the dependent populations disenrolled as a result of39the contractor’s services. 40 (a)1. By September 1, 2017, the division shall notify all41subscribers regarding the eligibility rules for dependents.42Through November 30, 2017, the division must hold subscribers43harmless for past claims of ineligible dependents if such44dependents are removed from plan membership before December 1,452017.462. Subparagraph 1. does not apply to any dependent47identified as ineligible before July 1, 2017, for which the48department has notified the state agency employing the49associated subscriber.50(b)The department or the contractor providing dependent 51 eligibility verification services may requirerequestthe 52 following information from subscribers: 53 1. To prove a spouse’s eligibility: 54 a. If married less than 12 months and the subscriber and 55 his or her spouse have not filed a joint federal income tax 56 return, a government-issued marriage certificate; or 57 b. If married for 12 or more months, a transcript of the 58 most recently filed federal income tax return. 59 2. To prove a biological child’s or a newborn grandchild’s 60 eligibility, a government-issued birth certificate. 61 3. To prove an adopted child’s eligibility: 62 a. An adoption certificate; or 63 b. An adoption placement agreement and a petition for 64 adoption. 65 4. To prove a stepchild’s eligibility: 66 a. A government-issued birth certificate for the stepchild; 67 and 68 b. The transcript of the subscriber’s most recently filed 69 federal income tax return. 70 5. Any other information necessary to verify the 71 dependent’s eligibility for enrollment in the state group 72 insurance program. 73 (b)(c)If a document requested from a subscriber is not 74 confidential or exempt from public records requirements, the 75 division and the contractor shall disclose to all subscribers 76 that such information submitted to verify the eligibility of 77 dependents may be subject to disclosure and inspection under 78 chapter 119. 79 (c)(d)A government-issued marriage license or marriage 80 certificate submitted for dependent eligibility verification 81 must include the date of the marriage between the subscriber and 82 the spouse. 83 (d)(e)A government-issued birth certificate submitted for 84 dependent eligibility verification must list the parents’ names. 85 (e)(f)Foreign-born subscribers unable to obtain the 86 necessary documentation within the specified time period of 87 producing verification documentation may execute a signed 88 affidavit attesting to eligibility requirements. 89 (f)(g)Documentation submitted to verify eligibility may be 90 an original or a photocopy of an original document. Before 91 submitting a document, the subscriber may redact any information 92 on a document which is not necessary to verify the eligibility 93 of the dependent. 94 (g)(h)All documentation obtainedby the contractorto 95 conduct the dependent eligibility verification services must be 96 retained in accordance with the applicable records retention 97 scheduleuntil June 30, 2019. The department or the contractor98is not required to retain such documentation after June 30,992019, and shall destroy such documentation as soon as100practicable after such date. 101 Section 2. This act shall take effect upon becoming a law.