Fla. Admin. Code R. 69O-203.202 (2026)

(1) Contracts for all Plans shall include all elements contained in this section:

(a) Name and address of the DPO;

(b) Telephone number for member assistance and Plan information;

(c) Contracts shall include the name of the group, if applicable, and the name of the member;

(d) Effective date and term of contract;

(e) Space for charges and any one-time processing fee;

(f) Mode of payment (monthly, quarterly, etc. with provision for change of mode if applicable);

(g) Renewal, termination and cancellation conditions;

(h) Benefits to be provided;

(i) All limitations, exclusions and exceptions;

(j) Provisions for adding new family members; and

(k) Member complaint procedure.

(2) The contract shall contain the entire agreement with the member. If a group arrangement is involved, contract terms may be included in a member handbook if incorporated by reference.

Rulemaking Authority 636.232 FS. Law Implemented 636.216 FS. History–New 4-7-05, Amended 11-1-07, 4-11-19.

Effective: 4/11/2019.