Fla. Stat. 636.039
Examination by the office

The office shall examine the affairs, transactions, accounts, business records, and assets of any prepaid limited health service organization, in the same manner and subject to the same terms and conditions that apply to insurers under part II of chapter 624, as often as it deems it expedient for the protection of the people of this state, but not less frequently than once every 3 years. In lieu of making its own financial examination, the office may accept an independent certified public accountant’s audit report prepared on a statutory accounting basis consistent with this act. However, except when the medical records are requested and copies furnished pursuant to s. 456.057, medical records of individuals and records of physicians providing service under contract to the prepaid limited health service organization are not subject to audit, but may be subject to subpoena by court order upon a showing of good cause. For the purpose of examinations, the office may administer oaths to and examine the officers and agents of a prepaid limited health service organization concerning its business and affairs. The expenses of examination of each prepaid limited health service organization by the office are subject to the same terms and conditions as apply to insurers under part II of chapter 624. Expenses of all examinations of a prepaid limited health service organization may never exceed a maximum of $20,000 for any 1-year period.

Source: Section 636.039 — Examination by the office, https://www.­flsenate.­gov/Laws/Statutes/2024/0636.­039 (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

§ 636.039. Examination by the office's source at flsenate​.gov