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Florida Statute 627.357 | Lawyer Caselaw & Research
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The 2024 Florida Statutes

Title XXXVII
INSURANCE
Chapter 627
INSURANCE RATES AND CONTRACTS
View Entire Chapter
F.S. 627.357
627.357 Medical malpractice self-insurance.—
(1) DEFINITIONS.—As used in this section, the term:
(a) “Fund” means a group or association of health care providers authorized to self-insure.
(b) “Health care provider” means any:
1. Hospital licensed under chapter 395.
2. Physician licensed, or physician assistant licensed, under chapter 458.
3. Osteopathic physician or physician assistant licensed under chapter 459.
4. Podiatric physician licensed under chapter 461.
5. Health maintenance organization certificated under part I of chapter 641.
6. Ambulatory surgical center licensed under chapter 395.
7. Chiropractic physician licensed under chapter 460.
8. Psychologist licensed under chapter 490.
9. Optometrist licensed under chapter 463.
10. Dentist licensed under chapter 466.
11. Pharmacist licensed under chapter 465.
12. Registered nurse, licensed practical nurse, or advanced practice registered nurse licensed or registered under part I of chapter 464.
13. Other medical facility.
14. Professional association, partnership, corporation, joint venture, or other association established by the individuals set forth in subparagraphs 2., 3., 4., 7., 8., 9., 10., 11., and 12. for professional activity.
(c) “Other medical facility” means a facility the primary purpose of which is to provide human medical diagnostic services or a facility providing nonsurgical human medical treatment and in which the patient is admitted to and discharged from such facility within the same working day, and which is not part of a hospital. The term does not include a facility existing for the primary purpose of performing terminations of pregnancies or an office maintained by a physician or dentist for the practice of medicine.
(d) “Hospital subsidiary corporation” means any corporation over which a hospital or the hospital’s parent corporation exercises financial or operational control and which provides health care services to the hospital or the hospital parent corporation or another hospital subsidiary corporation.
(e) “Hospital parent corporation” means any corporation which has financial or operational control over a hospital and which provides health care services to the hospital or another hospital subsidiary corporation.
(f) “Committee” means a committee or board of trustees of a health care provider or group of health care providers established to make recommendations, policies, or decisions regarding patient institutional utilization, patient treatment, or institutional staff privileges or to perform other administrative or professional purposes or functions.
(2) A group or association of health care providers composed of any number of members, is authorized to self-insure against claims arising out of the rendering of, or failure to render, medical care or services, or against claims for injury or death to the insured’s patients arising out of the insured’s activities, upon obtaining approval from the office and upon complying with the following conditions:
(a) Establishment of a Medical Malpractice Risk Management Trust Fund to provide coverage against professional medical malpractice liability.
(b) Employment of professional consultants for loss prevention and claims management coordination under a risk management program.
(3) The fund may insure hospital parent corporations, hospital subsidiary corporations, and committees against claims arising out of the rendering of, or failure to render, medical care or services.
(4) The fund is subject to regulation and investigation by the office. The fund is subject to rules of the commission and to part IX of chapter 626, relating to trade practices and frauds.
(5) The trust fund may purchase medical malpractice insurance, specific excess insurance, and aggregate excess insurance, up to determined limits, as necessary to provide the insurance coverages authorized by this section, consistent with market availability. The trust fund may purchase such risk management services as may be required, pay claims as may arise under any deductible provisions, and engage in prudent investment of trust funds and other activities reasonably relating to the payment of claims and to providing medical malpractice self-insurance, to the extent otherwise consistent with this section and law generally applicable to medical malpractice insurers.
(6) The commission shall adopt rules to implement this section, including rules that ensure that a trust fund remains solvent and maintains a sufficient reserve to cover contingent liabilities under subsection (7) in the event of its dissolution.
(7)(a) The liability of each member for the obligations of the trust fund is individual, several, and proportionate, but not joint, except as provided in this subsection.
(b) Each member has a contingent assessment liability for payment of actual losses and expenses incurred while the member’s policy was in force.
(c) The trust fund may from time to time assess members of the fund liable therefor under the terms of their policies and pursuant to this section. The office may assess the members in the event of liquidation of the fund.
(d) A member’s share of a deficiency for which an assessment is made is computed by applying to the premium earned on the member’s policy or policies during the period to be covered by the assessment the ratio of the total deficiency to the total premiums earned during such period upon all policies subject to the assessment. If one or more members fail to pay an assessment, the other members are liable on a proportionate basis for an additional assessment. The fund, acting on behalf of all members who paid the additional assessment, shall institute legal action, when necessary and appropriate, to recover the assessment from members who failed to pay it.
(e) In computing the earned premiums for the purposes of this section, the gross premium received by the fund for the policy shall be used as a base, deducting therefrom solely charges not recurring upon the renewal or extension of the policy.
(f) No member has an offset against any assessment for which the member is liable, on account of any claim for unearned premium of losses payable.
(g) If the assets of a trust fund are at any time insufficient to comply with the requirements of law, discharge the fund’s liabilities, or meet the required conditions of financial soundness, or if a judgment against the fund has remained unsatisfied for 30 days, the trust fund must immediately make up the deficiency or levy an assessment upon the members for the amount needed to make up the deficiency, subject to the limitations set forth in this subsection.
(h) If the trust fund fails to make an assessment as required by paragraph (g), the office shall order the fund to do so. If the deficiency is not sufficiently made up within 60 days after the date of the order, the fund is deemed insolvent and grounds exist to proceed against the fund as provided for in part I of chapter 631.
(i) Subject to this section, any rehabilitation, liquidation, conservation, or dissolution of a trust fund shall be conducted under the supervision of the department, which has all power with respect thereto granted to it under part I of chapter 631 governing the rehabilitation, liquidation, conservation, or dissolution of insurers.
(8) The expense factors associated with rates used by a fund shall be filed with the office at least 30 days prior to use and may not be used until approved by the office. The office shall disapprove the rates unless the filed expense factors associated therewith are justified and reasonable for the benefits and services provided.
(9) Premiums, contributions, and assessments received by a fund are subject to ss. 624.509(1) and (2) and 624.5092, except that the tax rate is 1.6 percent of the gross amount of such premiums, contributions, or assessments.
History.—ss. 1, 2, 3, ch. 72-265; s. 162, ch. 73-333; s. 4, ch. 75-9; s. 3, ch. 76-168; s. 8, ch. 76-260; s. 5, ch. 77-64; s. 1, ch. 77-457; ss. 2, 3, ch. 81-318; ss. 353, 357, 809(2nd), ch. 82-243; ss. 49, 79, ch. 82-386; s. 15, ch. 86-160; s. 30, ch. 87-226; s. 6, ch. 88-206; s. 17, ch. 89-167; s. 13, ch. 90-249; s. 60, ch. 91-110; ss. 27, 114, ch. 92-318; s. 58, ch. 97-264; s. 9, ch. 98-49; ss. 222, 291, ch. 98-166; s. 140, ch. 2000-318; s. 57, ch. 2001-63; s. 1107, ch. 2003-261; s. 42, ch. 2003-416; s. 72, ch. 2018-106.
Note.—Former s. 627.355; s. 768.52, 1976 Supplement.

F.S. 627.357 on Google Scholar

F.S. 627.357 on Casetext

Amendments to 627.357


Arrestable Offenses / Crimes under Fla. Stat. 627.357
Level: Degree
Misdemeanor/Felony: First/Second/Third

Current data shows no reason an arrest or criminal charge should have occurred directly under Florida Statute 627.357.

Annotations, Discussions, Cases:

Cases Citing Statute 627.357

Total Results: 14

LIFESOUTH CMTY. BLOOD CENTERS v. Fitchner

Court: Fla. Dist. Ct. App. | Date Filed: 2007-12-25T23:53:00-08:00

Citation: 970 So. 2d 379

Snippet: quot; means any self-insurer authorized under s. 627.357 or any uninsured prospective defendant. (c) "

Rogers v. Chicago Insurance Co.

Court: Fla. Dist. Ct. App. | Date Filed: 2007-09-26T00:00:00-07:00

Citation: 964 So. 2d 280, 2007 Fla. App. LEXIS 15183

Snippet: each self-insurance policy as authorized under s. 627.357 or s. 624.462 or insurance policy providing coverage

MERCY HOSP., INC. v. Baumgardner

Court: Fla. Dist. Ct. App. | Date Filed: 2003-12-23T23:53:00-08:00

Citation: 870 So. 2d 130

Snippet: through a plan of self-insurance as provided in s. 627.357, or through a plan of self-insurance which meets

Babic v. Physicians Protective Trust Fund

Court: Fla. Dist. Ct. App. | Date Filed: 1999-07-21T00:00:00-07:00

Citation: 738 So. 2d 442, 1999 Fla. App. LEXIS 9849, 1999 WL 512076

Snippet: provide: (1) Each self-insurer authorized under s. 627.357 and each insurer or joint underwriting association

State, Department of Revenue v. Central Dade Malpractice Trust Fund

Court: Fla. Dist. Ct. App. | Date Filed: 1996-05-07T00:00:00-07:00

Citation: 673 So. 2d 899, 1996 Fla. App. LEXIS 4594

Snippet: this statute, read in conjunction with section 627.357(9), Florida Statutes (Supp.1990), the statute allows…Department of Revenue erroneously interpreted section 627.357(9) to disallow any credits to Central Dade otherwise…enumeration of subsections (1) and (2) in section 627.357(9) precluded the application of other subsections…, 1073 (Fla.1982) (citations omitted). Section 627.357(9), Florida Statutes (Supp. 1990), provides that… It is obvious from a plain reading of section 627.357(9), that the Legislature specifically cross-referenced

PHYSICIANS PROTECTIVE TR. v. Overman

Court: Fla. Dist. Ct. App. | Date Filed: 1994-05-04T00:53:00-07:00

Citation: 636 So. 2d 827

Snippet: self-insured trust, established under section 627.357, Florida Statutes, which provides Dr. Harr with

Ball v. Florida Podiatrist Trust

Court: Fla. Dist. Ct. App. | Date Filed: 1993-05-07T00:53:00-07:00

Citation: 620 So. 2d 1018

Snippet: versions.[2] The trust was also governed by section 627.357, Florida Statutes (1991), and rules adopted by …. The law under which FPT was created, section 627.357, Florida Statutes, does not address the payment…losses incurred during their membership. See § 627.357, Fla. Stat. The conclusion that the contract is

Gup v. Cook

Court: Fla. | Date Filed: 1991-08-15T00:00:00-07:00

Citation: 585 So. 2d 926, 16 Fla. L. Weekly Supp. 505, 1991 Fla. LEXIS 1222, 1991 WL 155131

Snippet: or d. Obtained self-insurance as provided in s. 627.357, providing coverage in an amount of $100,000 or

Gup v. Cook

Court: Fla. Dist. Ct. App. | Date Filed: 1989-09-20T00:53:00-07:00

Citation: 549 So. 2d 1081

Snippet: or d. Obtained self-insurance as provided in s. 627.357, providing coverage in an amount of $100,000 or

SE VOLUSIA HOSP. DIST. v. State, Dept. of Ins.

Court: Fla. Dist. Ct. App. | Date Filed: 1983-05-17T00:53:00-07:00

Citation: 432 So. 2d 592

Snippet: through a plan of self-insurance as provided in s. 627.357; however, no hospital shall be required to obtain

Mercy Hospital, Inc. v. Menendez

Court: Fla. Dist. Ct. App. | Date Filed: 1981-05-26T00:00:00-07:00

Citation: 400 So. 2d 48

Snippet: ‘d. Obtained self-insurance as provided in s. 627.357, providing coverage in an amount of $100,000 or

Ago

Court: Fla. Att'y Gen. | Date Filed: 1980-12-22T23:53:00-08:00

Snippet: Language, Unabridged Ed. at 1294. Cf. ss. 627.356 and 627.357, F. S., as examples of self-insurance funds and

Ago

Court: Fla. Att'y Gen. | Date Filed: 1980-02-17T23:53:00-08:00

Snippet: trust fund under the provisions of ss. 768.54 and 627.357, F. S., and therefore it is assumed for the purposes

Mercy Hospital, Inc. v. Menendez

Court: Fla. Dist. Ct. App. | Date Filed: 1979-06-12T00:53:00-07:00

Citation: 371 So. 2d 1077

Snippet: quot;d. Obtained self-insurance as provided in s. 627.357, providing coverage in an amount of $100,000 or