CS/HB 1443 2022
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F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
A bill to be entitled 1
An act relating to dependent eligibility verification 2
services; amending s. 110.12301, F.S.; requiring the 3
Department of Management Services, rather than the 4
Division of State Group Insurance, to directly provide 5
or contract for certain services; removing 6
requirements for such contract; removing obsolete 7
language; revising the retention requirements for 8
certain documentation; providing an effective date. 9
10
Be It Enacted by the Legislature of the State of Florida: 11
12
Section 1. Subsection (2) of section 110.12301, Florida 13
Statutes, is amended to read: 14
110.12301 Competitive procurement of postpayment claims 15
review services; and dependent eligibility verific ation 16
services; public records exemption. — 17
(2) The department may directly provide or Division of 18
State Group Insurance is directed to competitively procure a 19
contract for dependent eligibility verification services for the 20
state group insurance program ; however, compensation under the 21
contract may not exceed historical claim costs for the prior 12 22
months for the dependent populations disenrolled as a result of 23
the contractor's services . 24
(a)1. By September 1, 2017, the division shall notify all 25
CS/HB 1443 2022
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F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
subscribers regarding the eligibility rules for dependents. 26
Through November 30, 2017, the division must hold subscribers 27
harmless for past claims of ineligible dependents if such 28
dependents are removed from plan membership before December 1, 29
2017. 30
2. Subparagraph 1. does not apply to any dependent 31
identified as ineligible before July 1, 2017, for which the 32
department has notified the state agency employing the 33
associated subscriber. 34
(a)(b) The contractor providing dependent eligibility 35
verification services ma y request the following information from 36
Subscribers must provide all of the following information to the 37
department or the contractor providing dependent eligibility 38
verification services : 39
1. To prove a spouse's eligibility: 40
a. If married fewer less than 12 months and the subscriber 41
and his or her spouse have not filed a joint federal income tax 42
return, a government -issued marriage certificate; or 43
b. If married for 12 or more months, a transcript of the 44
most recently filed federal income tax return. 45
2. To prove a biological child's or a newborn grandchild's 46
eligibility, a government -issued birth certificate. 47
3. To prove an adopted child's eligibility: 48
a. An adoption certificate; or 49
b. An adoption placement agreement and a petition for 50
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adoption. 51
4. To prove a stepchild's eligibility: 52
a. A government-issued birth certificate for the 53
stepchild; and 54
b. The transcript of the subscriber's most recently filed 55
federal income tax return. 56
5. Any other information necessary to verify the 57
dependent's eligibility for enrollment in the state group 58
insurance program. 59
(b)(c) If a document requested from a subscriber is not 60
confidential or exempt from public records requirements, the 61
division and the contractor shall disclose to all subscribers 62
that such information submitted to verify the eligibility of 63
dependents may be subject to disclosure and inspection under 64
chapter 119. 65
(c)(d) A government-issued marriage license or marriage 66
certificate submitted for dependent eligibility verification 67
must include the date of the marriage between the subscriber and 68
the spouse. 69
(d)(e) A government-issued birth certificate submitted for 70
dependent eligibility verification must list the parents' names. 71
(e)(f) Foreign-born subscribers unable to obtain the 72
necessary documentation within the specified time period of 73
producing verification documentation may execute a signed 74
affidavit attesting to eligibility requirements. 75
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(f)(g) Documentation submitted to verify eligibility may 76
be an original or a photocopy of an original document. Before 77
submitting a document, the subscriber may redact any information 78
on a document which is not necessary to verify the eligibility 79
of the dependent. 80
(g)(h) All documentation obtained by the contractor to 81
conduct the dependen t eligibility verification services must be 82
retained in accordance with the applicable records retention 83
schedule until June 30, 2019. The department or the contractor 84
is not required to retain such documentation after June 30, 85
2019, and shall destroy such documentation as soon as 86
practicable after such date. 87
Section 2. This act shall take effect July 1, 2022. 88