Fla. Stat. 627.4195
Health insurance; claims for payment of psychotherapeutic services; confidentiality

An insurer must maintain strict confidentiality against unauthorized or inadvertent disclosure of confidential information to persons inside or outside the insurer’s organization regarding claims for payment of psychotherapeutic services provided by psychotherapists licensed under chapter 490 or chapter 491 and psychotherapeutic records and reports related to the claims. A report, in lieu of records, may be submitted by a psychotherapist in support of a claim. Such report must include clear statements summarizing the insured’s presenting symptoms, what transpired in any provided therapy, what progress, if any, was made by the insured and results obtained. However, the insurer may require the records upon which the report is based, if the report does not contain sufficient information for properly processing the claim. A psychotherapist submitting records in support of a claim may obscure portions to conceal the names, identities, or identifying information of people other than the insured if this information is unnecessary to utilization review, quality management, discharge planning, case management, or claims processing conducted by the insurer. An insurer may provide aggregate data which does not disclose subscriber identities or identities of other persons to entities such as payors, sponsors, researchers and accreditation bodies. As used in this section, “insurer” means an individual health insurance policy subject to this chapter, an insurer issuing a group health insurance policy or certificate pursuant to s. 627.651, a plan of self-insurance providing the health coverage benefits to residents of this state pursuant to s. 627.651, an insurer delivering a group health policy issued or delivered outside this state under which a resident of this state is provided coverage pursuant to s. 627.6515, a preferred provider organization as defined in s. 627.6471, an exclusive provider organization as defined in s. 627.6472, and prepaid health service organizations providing mental health services pursuant to chapter 636.

Source: Section 627.4195 — Health insurance; claims for payment of psychotherapeutic services; confidentiality, https://www.­flsenate.­gov/Laws/Statutes/2024/0627.­4195 (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

§ 627.4195. Health insurance; claims for payment of psychotherapeutic services; confidentiality's source at flsenate​.gov