Fla. Stat. 627.624
Relation of earnings to insurance


(1)

The contract may include the following provision:

“Relation of Earnings to Insurance: If the total monthly amount of loss-of-time benefits promised for the same loss under all valid loss-of-time coverage upon the insured, whether payable on a weekly or monthly basis, exceeds the monthly earnings of the insured at the time disability commenced or his or her average monthly earnings for the period of 2 years immediately preceding a disability for which claim is made, whichever is the greater, the insurer will be liable only for such proportionate amount of such benefits under this policy as the amount of such monthly earnings or such average monthly earnings of the insured bears to the total amount of monthly benefits for the same loss under all such coverage upon the insured at the time such disability commences and for the return of such part of the premiums paid during such 2 years as exceeds the pro rata amount of the premiums for the benefits actually paid hereunder; but this provision shall not operate to reduce the total monthly amount of benefits payable under all such coverage upon the insured below the sum of $500 or the sum of the monthly benefits specified in such coverages, whichever is the lesser, nor shall it operate to reduce benefits other than those payable for loss of time.”

(2)

The foregoing policy provision may be inserted only in a policy which the insured has the right to continue in force subject to its terms by the timely payment of premiums until at least age 50 or, in the case of a policy issued after age 44, for at least 5 years from its date of issue. The insurer may, at its option, include in this provision a definition of “valid loss-of-time coverage,” approved as to form by the office, which definition shall be limited to coverage provided by governmental agencies or by organizations subject to regulation by insurance law, or any combination of such coverages. In the absence of such definition, such term does not include any coverage provided for such insured pursuant to any compulsory benefit statute or benefits provided by union welfare plans or by employer or employee benefit organizations.

Source: Section 627.624 — Relation of earnings to insurance, https://www.­flsenate.­gov/Laws/Statutes/2024/0627.­624 (accessed Aug. 7, 2025).

627.601
Scope of this part
627.602
Scope, format of policy
627.603
Death benefits
627.604
Nonresident insured
627.605
Required provisions
627.606
Entire contract
627.607
Time limit on certain defenses
627.608
Grace period
627.609
Reinstatement
627.610
Notice of claim
627.611
Claim forms
627.612
Proof of loss
627.613
Time of payment of claims
627.614
Payment of claims
627.615
Physical examination, autopsy
627.616
Legal actions
627.617
Change of beneficiary
627.618
Optional policy provisions
627.619
Change of occupation
627.620
Misstatement of age or sex
627.621
Other insurance with this insurer
627.622
Insurance with other insurers
627.623
Insurance with other insurers
627.624
Relation of earnings to insurance
627.625
Unpaid premiums
627.627
Conformity with statutes
627.628
Illegal occupation
627.629
Intoxicants and narcotics
627.630
Order of certain provisions
627.631
Third-party ownership
627.632
Requirements of other jurisdictions
627.633
Other policy provisions
627.634
Age limit
627.635
Excess insurance
627.636
Industrial health insurance
627.637
Construction of noncomplying contracts
627.638
Direct payment for hospital, medical services
627.639
Application signed by agent
627.640
Filing of classifications and rates
627.641
Coverage for newborn children
627.642
Outline of coverage
627.643
Uniform minimum standards
627.644
Discrimination against handicapped prohibited
627.645
Denial of health insurance claims restricted
627.646
Conversion on termination of eligibility
627.647
Standard health claim form
627.6011
Mandated coverages
627.6041
Children with disabilities
627.6043
Notification of cancellation, nonrenewal, or change in rates
627.6044
Use of a specific methodology for payment of claims
627.6045
Preexisting condition
627.6046
Limit on preexisting conditions
627.6056
Coverage for ambulatory surgical center service
627.6131
Payment of claims
627.6141
Denial of claims
627.6265
Cancellation or nonrenewal prohibited
627.6385
Disclosures to policyholders
627.6387
Shared savings incentive program
627.6401
Refunds for persons age 64
627.6402
Insurance rebates for healthy lifestyles
627.6403
Payment of acupuncture benefits to certified acupuncturists
627.6405
Decreasing inappropriate utilization of emergency care
627.6406
Maternity care
627.6407
Massage
627.6408
Diabetes treatment services
627.6409
Coverage for osteoporosis screening, diagnosis, treatment, and management
627.6415
Coverage for natural-born, adopted, and foster children
627.6416
Coverage for child health supervision services
627.6417
Coverage for surgical procedures and devices incident to mastectomy
627.6418
Coverage for mammograms
627.6419
Requirements with respect to breast cancer
627.6425
Renewability of individual coverage
627.6426
Short-term health insurance
627.6471
Contracts for reduced rates of payment
627.6472
Exclusive provider organizations
627.6473
Combined preferred provider and exclusive provider policies
627.6474
Provider contracts
627.6475
Individual reinsurance pool
627.6487
Guaranteed availability of individual health insurance coverage to eligible individuals
627.64025
Advanced practice registered nurse services
627.64171
Coverage for length of stay and outpatient postsurgical care
627.64172
Requirements with respect to breast cancer and routine followup care
627.64193
Required coverage for cleft lip and cleft palate
627.64194
Coverage requirements for services provided by nonparticipating providers
627.64195
Requirements for opioid coverage
627.64196
Medication synchronization
627.64197
Coverage for organ transplants
627.64725
Health maintenance organization or exclusive provider organization
627.64731
Leasing, renting, or granting access to a participating provider
627.64741
Pharmacy benefit manager contracts
627.64995
Restrictions on use of state and federal funds for state exchanges

Current through Fall 2025

§ 627.624. Relation of earnings to insurance's source at flsenate​.gov