Fla. Stat. 636.036
Administrative, provider, and management contracts

(1)

The office may require a prepaid limited health service organization to submit any contract for administrative services, contract with a provider physician, contract for management services, or contract with an affiliated entity to the office if the office has information that the prepaid limited health service organization has entered into a contract which requires it to pay a fee which is unreasonably high in relation to the service provided.

(2)

After review of a contract, the office may order the prepaid limited health service organization to cancel the contract if it determines that the fees to be paid by the prepaid limited health service organization under the contract are so unreasonably high as compared with similar contracts entered into by the prepaid limited health service organization in similar circumstances that the contract is detrimental to the subscribers, stockholders, investors, or creditors of the prepaid limited health service organization.

(3)

All contracts for administrative services, management services, or provider services or contracts with affiliated entities, entered into or renewed by a prepaid limited health service organization on or after October 1, 1993, must contain a provision that the contract will be canceled upon issuance of an order by the office pursuant to this section.

Source: Section 636.036 — Administrative, provider, and management contracts, https://www.­flsenate.­gov/Laws/Statutes/2024/0636.­036 (accessed Aug. 7, 2025).

636.002
Short title 636.003
Definitions 636.004
Applicability of other laws 636.005
Incorporation required 636.006
Insurance business not authorized 636.007
Certificate of authority required 636.008
Application for certificate of authority 636.009
Issuance of certificate of authority 636.012
Continued eligibility for certificate of authority 636.015
Language used in contracts and advertisements 636.016
Prepaid limited health service contracts 636.017
Rates and charges 636.018
Changes in rates and benefits 636.019
Additional contract contents 636.022
Restrictions upon expulsion or refusal to issue or renew contract 636.023
Charter 636.024
Execution of contracts 636.025
Validity of noncomplying contracts 636.026
Construction of contracts 636.027
Delivery of contract 636.028
Notice of cancellation of contract 636.029
Construction and relationship with other laws 636.032
Acceptable payments 636.033
Certain words prohibited in name of organization 636.034
Extension of benefits 636.035
Provider arrangements 636.036
Administrative, provider, and management contracts 636.037
Contract providers 636.038
Complaint system 636.039
Examination by the office 636.042
Assets, liabilities, and investments 636.043
Annual, quarterly, and miscellaneous reports 636.044
Agent licensing 636.045
Minimum surplus requirements 636.046
Insolvency protection 636.047
Officers’ and employees’ fidelity bond 636.048
Suspension or revocation of certificate of authority 636.049
Administrative penalty in lieu of suspension or revocation 636.052
Civil remedy 636.053
Injunction 636.054
Payment of judgment by prepaid limited health service organization 636.055
Levy upon deposit limited 636.056
Rehabilitation, conservation, liquidation, or reorganization 636.057
Fees 636.058
Investigative power of department and office 636.059
Unfair methods of competition, unfair or deceptive acts or practices defined 636.062
Appeals from the office or department 636.063
Civil liability 636.064
Confidentiality 636.065
Acquisitions 636.066
Taxes imposed 636.067
Rules 636.0145
Certain entities contracting with Medicaid 636.0155
Disclosures required in contracts and marketing materials 636.0201
Genetic information restrictions

Current through Fall 2025

§ 636.036. Admin., provider, & management contracts's source at flsenate​.gov