What is required in the florida employee health care access act?
The purpose of the Florida Employee Health Care Access Act is to promote and encourage small employers in this state to provide health care benefits to their employees. The goal is to reduce the costs of health insurance for small businesses and improve the health of employees and their families.
Insurer requirements
A health insurer or health maintenance organization may offer a health benefit plan to small employers in this state if the policy offered meets the eligibility criteria established by the office. In addition, the office shall evaluate the ability of the insurer to apply effective cost-containment programs and procedures in administering the plan in a cost-efficient manner. The office may use any financial information available to it through its regulatory duties to make this evaluation.
Insurer reporting requirements
On March 1 following the close of each calendar year, the insurer shall determine net written and earned premiums, the expense of administration, and the paid and incurred losses and report this information to the office on a form prescribed by the office. In addition, the insurer must provide to the office information and documentation that constitutes proprietary or trade secret information.
Small employer requirements
The law defines a small employer as an individual, sole proprietor, partnership, corporation, or association that employs at least one but not more than 50 eligible employees. In addition, the law identifies a full-time employee as an employee who works a normal workweek of 25 or more hours per week.