Fla. Stat. 627.4147
Medical malpractice insurance contracts


(1)

In addition to any other requirements imposed by law, each self-insurance policy as authorized under s. 627.357 or s. 624.462 or insurance policy providing coverage for claims arising out of the rendering of, or the failure to render, medical care or services, including those of the Florida Medical Malpractice Joint Underwriting Association, shall include:A clause requiring the insured to cooperate fully in the review process prescribed under s. 766.106 if a notice of intent to file a claim for medical malpractice is made against the insured.
A clause clearly stating whether or not the insured has the exclusive right to veto any offer of admission of liability and for arbitration pursuant to s. 766.106, settlement offer, or offer of judgment if the offer is within policy limits. An insurer or self-insurer shall not make or conclude, without the permission of the insured, any offer of admission of liability and for arbitration pursuant to s. 766.106, settlement offer, or offer of judgment, if such offer is outside the policy limits. However, any offer for admission of liability and for arbitration made under s. 766.106, settlement offer, or offer of judgment made by an insurer or self-insurer shall be made in good faith and in the best interest of the insured.
If the policy contains a clause stating the insured does not have the exclusive right to veto any offer or admission of liability and for arbitration made pursuant to s. 766.106, settlement offer, or offer of judgment, the insurer or self-insurer shall provide to the insured or the insured’s legal representative by certified mail, return receipt requested, a copy of the final offer of admission of liability and for arbitration made pursuant to s. 766.106, settlement offer, or offer of judgment and at the same time such offer is provided to the claimant. A copy of any final agreement reached between the insurer and claimant shall also be provided to the insured or his or her legal representative by certified mail, return receipt requested, not more than 10 days after affecting such agreement.
A clause requiring the insurer or self-insurer to notify the insured no less than 90 days prior to the effective date of cancellation of the policy or contract and, in the event of a determination by the insurer or self-insurer not to renew the policy or contract, to notify the insured no less than 90 days prior to the end of the policy or contract period. If cancellation or nonrenewal is due to nonpayment or loss of license, 10 days’ notice is required.A clause requiring the insurer or self-insurer to notify the insured no less than 60 days prior to the effective date of a rate increase. The provisions of s. 627.4133 shall apply to such notice and to the failure of the insurer to provide such notice to the extent not in conflict with this section.

(a)

A clause requiring the insured to cooperate fully in the review process prescribed under s. 766.106 if a notice of intent to file a claim for medical malpractice is made against the insured.

(b)1.

A clause clearly stating whether or not the insured has the exclusive right to veto any offer of admission of liability and for arbitration pursuant to s. 766.106, settlement offer, or offer of judgment if the offer is within policy limits. An insurer or self-insurer shall not make or conclude, without the permission of the insured, any offer of admission of liability and for arbitration pursuant to s. 766.106, settlement offer, or offer of judgment, if such offer is outside the policy limits. However, any offer for admission of liability and for arbitration made under s. 766.106, settlement offer, or offer of judgment made by an insurer or self-insurer shall be made in good faith and in the best interest of the insured.If the policy contains a clause stating the insured does not have the exclusive right to veto any offer or admission of liability and for arbitration made pursuant to s. 766.106, settlement offer, or offer of judgment, the insurer or self-insurer shall provide to the insured or the insured’s legal representative by certified mail, return receipt requested, a copy of the final offer of admission of liability and for arbitration made pursuant to s. 766.106, settlement offer, or offer of judgment and at the same time such offer is provided to the claimant. A copy of any final agreement reached between the insurer and claimant shall also be provided to the insured or his or her legal representative by certified mail, return receipt requested, not more than 10 days after affecting such agreement.
(b)1. A clause clearly stating whether or not the insured has the exclusive right to veto any offer of admission of liability and for arbitration pursuant to s. 766.106, settlement offer, or offer of judgment if the offer is within policy limits. An insurer or self-insurer shall not make or conclude, without the permission of the insured, any offer of admission of liability and for arbitration pursuant to s. 766.106, settlement offer, or offer of judgment, if such offer is outside the policy limits. However, any offer for admission of liability and for arbitration made under s. 766.106, settlement offer, or offer of judgment made by an insurer or self-insurer shall be made in good faith and in the best interest of the insured.
2. If the policy contains a clause stating the insured does not have the exclusive right to veto any offer or admission of liability and for arbitration made pursuant to s. 766.106, settlement offer, or offer of judgment, the insurer or self-insurer shall provide to the insured or the insured’s legal representative by certified mail, return receipt requested, a copy of the final offer of admission of liability and for arbitration made pursuant to s. 766.106, settlement offer, or offer of judgment and at the same time such offer is provided to the claimant. A copy of any final agreement reached between the insurer and claimant shall also be provided to the insured or his or her legal representative by certified mail, return receipt requested, not more than 10 days after affecting such agreement.

(c)

A clause requiring the insurer or self-insurer to notify the insured no less than 90 days prior to the effective date of cancellation of the policy or contract and, in the event of a determination by the insurer or self-insurer not to renew the policy or contract, to notify the insured no less than 90 days prior to the end of the policy or contract period. If cancellation or nonrenewal is due to nonpayment or loss of license, 10 days’ notice is required.

(d)

A clause requiring the insurer or self-insurer to notify the insured no less than 60 days prior to the effective date of a rate increase. The provisions of s. 627.4133 shall apply to such notice and to the failure of the insurer to provide such notice to the extent not in conflict with this section.

(2)

Each insurer covered by this section may require the insured to be a member in good standing, i.e., not subject to expulsion or suspension, of a duly recognized state or local professional society of health care providers which maintains a medical review committee. No professional society shall expel or suspend a member solely because he or she participates in a health maintenance organization licensed under part I of chapter 641.

(3)

This section shall apply to all policies issued or renewed after October 1, 2003.

Source: Section 627.4147 — Medical malpractice insurance contracts, https://www.­flsenate.­gov/Laws/Statutes/2024/0627.­4147 (accessed Aug. 7, 2025).

627.401
Scope of this part
627.402
Definitions
627.403
“Premium” defined
627.404
Insurable interest
627.405
Insurable interest
627.406
Power to contract
627.407
Alteration of application
627.408
Application as evidence
627.409
Representations in applications
627.410
Filing, approval of forms
627.411
Grounds for disapproval
627.412
Standard provisions, in general
627.413
Contents of policies, in general
627.414
Additional policy contents
627.415
Charter, bylaw provisions
627.416
Execution of policies
627.417
Underwriters’ and combination policies
627.418
Validity of noncomplying contracts
627.419
Construction of policies
627.420
Binders
627.421
Delivery of policy
627.422
Assignment of policies or post-loss benefits
627.423
Payment discharges insurer
627.424
Minor may give acquittance
627.425
Forms for proof of loss to be furnished
627.426
Claims administration
627.427
Payment of judgment by insurer
627.429
Medical tests for HIV infection and AIDS for insurance purposes
627.441
Commercial general liability policies
627.442
Insurance contracts
627.443
Essential health benefits
627.444
Loss run statements for all lines of insurance
627.445
Paid family leave insurance
627.446
Advanced explanation of benefits
627.4025
Residential coverage and hurricane coverage defined
627.4035
Payment of premiums
627.4085
Insurer name, agent name, and license identification number required on application
627.4091
Specific reasons for denial, cancellation, or nonrenewal
627.4101
Credit insurance enrollment forms
627.4102
Informational filing of forms
627.4105
Life and health insurance
627.4107
Government employees exposed to toxic drug chemicals
627.4108
Claims-handling manuals
627.4131
Telephone number required
627.4132
Stacking of coverages prohibited
627.4133
Notice of cancellation, nonrenewal, or renewal premium
627.4135
Casualty insurance contracts subject to general provisions for insurance contracts
627.4136
Nonjoinder of insurers
627.4137
Disclosure of certain information required
627.4138
Wrap-up insurance policies for nonpublic construction projects
627.4143
Outline of coverage
627.4145
Readable language in insurance policies
627.4147
Medical malpractice insurance contracts
627.4148
Medical malpractice insurers
627.4195
Health insurance
627.4205
Coverage identification number required
627.4215
Disclosures to policyholders
627.4232
Health insurance out-of-hospital benefits
627.4233
Total disability defined
627.4234
Health insurance cost containment provisions required
627.4235
Coordination of benefits
627.4236
Coverage for bone marrow transplant procedures
627.4237
Sickness disability or disability due to sickness
627.4238
Health insurer examinations
627.4239
Coverage for use of drugs in treatment of cancer
627.4265
Payment of settlement
627.4295
Dental procedures
627.4301
Genetic information for insurance purposes
627.4302
Identification cards for processing prescription drug claims
627.40951
Standard personal lines residential insurance policy
627.40952
Savings reflections in residential property and motor vehicle insurer rate filings related to specified chapter laws
627.41495
Public notice of medical malpractice rate filings
627.42391
Insurance policies
627.42392
Prior authorization
627.42393
Step-therapy protocol
627.42395
Coverage for certain prescription and nonprescription enteral formulas
627.42396
Reimbursement for telehealth services
627.42397
Coverage for air ambulance services
627.43141
Notice of change in policy terms

Current through Fall 2025

§ 627.4147. Med. malpractice insurance contracts's source at flsenate​.gov