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Florida Statutes § 641.511

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“Subscriber grievance reporting and resolution requirements under the insurance law” 

Every health maintenance organization must have a grievance procedure for its enrollees to address complaints and grievances. A health maintenance organization must notify its enrollees that they may submit a grievance within 1 year after the date of occurrence of the action that initiated the grievance. The health maintenance organization must resolve a grievance within 60 days after receipt of the grievance or within 3 days for an urgent grievance.

 


Current as of June 2015