Fla. Stat. 627.6516
Trustee groups


(1)

A policy may not be issued:To insure employees of any employer whose eligibility to participate in the fund as an employer arises out of considerations directly related to the employer being a commercial correspondent or business client or patron of another employer, regardless of whether the other employer is or is not participating in the fund; orTo insure employees of any employer not located in this state, unless the majority of the employers whose employees are to be insured are located in this state, or unless the employer has assumed obligations through a collective bargaining agreement and is participating in the fund either pursuant to those obligations with regard to one or more classes of its employees that are encompassed in the collective bargaining agreement or as a method of providing insurance benefits for other classes of its employees, or unless the policy is issued to the trustees of a fund established by two or more labor unions.

(a)

To insure employees of any employer whose eligibility to participate in the fund as an employer arises out of considerations directly related to the employer being a commercial correspondent or business client or patron of another employer, regardless of whether the other employer is or is not participating in the fund; or

(b)

To insure employees of any employer not located in this state, unless the majority of the employers whose employees are to be insured are located in this state, or unless the employer has assumed obligations through a collective bargaining agreement and is participating in the fund either pursuant to those obligations with regard to one or more classes of its employees that are encompassed in the collective bargaining agreement or as a method of providing insurance benefits for other classes of its employees, or unless the policy is issued to the trustees of a fund established by two or more labor unions.

(2)(a)

The persons eligible for insurance must be all of the employees of the employers or all of the members of the unions, or all of the members of any class or classes of employees or members determined by conditions pertaining to their employment or to membership in the unions, or both. The policy may provide that the term “employees” includes corporate directors, former employees, or retired employees and the individual proprietor or partners if an employer is an individual proprietor or a partnership.Except as provided in paragraph (a) as to retired employees, an individual proprietor or partner is not eligible for insurance under the policy as an employee unless he or she is actively engaged in and devotes a substantial part of his or her time to the conduct of the business of the proprietor or partnership. The policy may provide that the term “employees” includes the trustees or their employees, or both, if their duties are principally connected with such trusteeship.A policy may insure the spouse or dependent children with or without the employee of the employer or member of the union being insured.

(2)(a)

The persons eligible for insurance must be all of the employees of the employers or all of the members of the unions, or all of the members of any class or classes of employees or members determined by conditions pertaining to their employment or to membership in the unions, or both. The policy may provide that the term “employees” includes corporate directors, former employees, or retired employees and the individual proprietor or partners if an employer is an individual proprietor or a partnership.

(b)

Except as provided in paragraph (a) as to retired employees, an individual proprietor or partner is not eligible for insurance under the policy as an employee unless he or she is actively engaged in and devotes a substantial part of his or her time to the conduct of the business of the proprietor or partnership. The policy may provide that the term “employees” includes the trustees or their employees, or both, if their duties are principally connected with such trusteeship.

(c)

A policy may insure the spouse or dependent children with or without the employee of the employer or member of the union being insured.

(3)

The premium for the policy must be paid by the policyholder either wholly from the policyholder’s funds or from funds contributed by the employer or employers of the insured persons or by the union or unions, or by both, or partly from such funds and partly from funds contributed by the insured persons.

(4)(a)

The policy must cover at date of issue not less than five persons, other than individual proprietors or partners, from each employer unit unless any of the following apply:
The policy is issued to the trustees of a fund established by employers who have assumed obligations through a collective bargaining agreement and are participating in the fund either pursuant to those obligations with regard to one or more classes of their employees encompassed in the collective bargaining agreement or as a method of providing insurance benefits for other classes of their employees.
The employer unit is a subsidiary corporation of an employer in the group or is an affiliated corporation, proprietorship, or partnership of an employer in the group whose business is under common control with the business of the employer.
The policy is issued to the trustees of a fund established by two or more labor unions.
If the fund is established by the members of a group of employers:
The policy may be issued only if the participating employers constitute at date of issue at least 60 percent of those employer members whose employees are not already covered for group health insurance or if the total number of persons covered at date of issue exceeds 600.
The policy may not require that, if a participating employer discontinues membership in such group of employers, the insurance of its employees will cease solely by reason of such discontinuance.

(4)(a)

The policy must cover at date of issue not less than five persons, other than individual proprietors or partners, from each employer unit unless any of the following apply:The policy is issued to the trustees of a fund established by employers who have assumed obligations through a collective bargaining agreement and are participating in the fund either pursuant to those obligations with regard to one or more classes of their employees encompassed in the collective bargaining agreement or as a method of providing insurance benefits for other classes of their employees.The employer unit is a subsidiary corporation of an employer in the group or is an affiliated corporation, proprietorship, or partnership of an employer in the group whose business is under common control with the business of the employer.The policy is issued to the trustees of a fund established by two or more labor unions.
1. The policy is issued to the trustees of a fund established by employers who have assumed obligations through a collective bargaining agreement and are participating in the fund either pursuant to those obligations with regard to one or more classes of their employees encompassed in the collective bargaining agreement or as a method of providing insurance benefits for other classes of their employees.
2. The employer unit is a subsidiary corporation of an employer in the group or is an affiliated corporation, proprietorship, or partnership of an employer in the group whose business is under common control with the business of the employer.
3. The policy is issued to the trustees of a fund established by two or more labor unions.

(b)

If the fund is established by the members of a group of employers:The policy may be issued only if the participating employers constitute at date of issue at least 60 percent of those employer members whose employees are not already covered for group health insurance or if the total number of persons covered at date of issue exceeds 600.The policy may not require that, if a participating employer discontinues membership in such group of employers, the insurance of its employees will cease solely by reason of such discontinuance.
1. The policy may be issued only if the participating employers constitute at date of issue at least 60 percent of those employer members whose employees are not already covered for group health insurance or if the total number of persons covered at date of issue exceeds 600.
2. The policy may not require that, if a participating employer discontinues membership in such group of employers, the insurance of its employees will cease solely by reason of such discontinuance.

(5)

The amounts of insurance under the policy must be based upon some plan precluding individual selection either by the insured persons or by the policyholder, employer, or unions.

Source: Section 627.6516 — Trustee groups, https://www.­flsenate.­gov/Laws/Statutes/2024/0627.­6516 (accessed Aug. 7, 2025).

627.651
Group contracts and plans of self-insurance must meet group requirements
627.652
Group health insurance
627.653
Employee groups
627.654
Labor union, association, and small employer health alliance groups
627.655
Debtor groups
627.656
Additional groups
627.657
Provisions of group health insurance policies
627.658
Use of dividends, refunds, rate reductions, commissions, service fees
627.659
Blanket health insurance
627.660
Conditions and provisions of blanket health insurance policies
627.661
School accident insurance claims
627.662
Other provisions applicable
627.663
Franchise health insurance
627.664
Assignment of incidents of ownership in group, blanket, or franchise health policies
627.666
Liability of succeeding insurer on replacement of group, blanket, or franchise health insurance policy
627.667
Extension of benefits
627.668
Optional coverage for mental and nervous disorders required
627.669
Optional coverage required for substance abuse impaired persons
627.6512
Exemption of certain group health insurance policies
627.6513
Scope
627.6515
Out-of-state groups
627.6516
Trustee groups
627.6525
Short-term health insurance
627.6551
Teacher and student groups
627.6561
Preexisting conditions
627.6562
Dependent coverage
627.6563
Full-time employment defined
627.6571
Guaranteed renewability of coverage
627.6572
Pharmacy benefit manager contracts
627.6574
Maternity care
627.6575
Coverage for newborn children
627.6577
Dental care
627.6578
Coverage for natural-born, adopted, and foster children
627.6579
Coverage for child health supervision services
627.6612
Coverage for surgical procedures and devices incident to mastectomy
627.6613
Coverage for mammograms
627.6615
Children with disabilities
627.6616
Coverage for ambulatory surgical center service
627.6617
Coverage for home health care services
627.6618
Payment of acupuncture benefits to certified acupuncturists
627.6619
Massage
627.6621
Advanced practice registered nurse services
627.6645
Notification of cancellation, expiration, nonrenewal, or change in rates
627.6646
Cancellation or nonrenewal prohibited
627.6648
Shared savings incentive program
627.6651
Replacement or termination of group, blanket, or franchise health policy or contract
627.6675
Conversion on termination of eligibility
627.6686
Coverage for individuals with autism spectrum disorder required
627.6691
Coverage for osteoporosis screening, diagnosis, treatment, and management
627.6692
Florida Health Insurance Coverage Continuation Act
627.6698
Attorney’s fees
627.6699
Employee Health Care Access Act
627.65612
Limit on preexisting conditions
627.65615
Special enrollment periods
627.65625
Prohibiting discrimination against individual participants and beneficiaries based on health status
627.65626
Insurance rebates for healthy lifestyles
627.65735
Nondiscrimination of coverage for surgical procedures
627.65736
Coverage for organ transplants
627.65745
Diabetes treatment services
627.65755
Dental procedures
627.66121
Coverage for length of stay and outpatient postsurgical care
627.66122
Requirements with respect to breast cancer and routine followup care
627.66911
Required coverage for cleft lip and cleft palate
627.66996
Restrictions on use of state and federal funds for state exchanges
627.66997
Stop-loss insurance

Current through Fall 2025

§ 627.6516. Trustee groups's source at flsenate​.gov