Fla. Stat. 641.386
Agent licensing and appointment required; exceptions


(1)

With respect to a health maintenance contract, no person shall, unless licensed and appointed as a health insurance agent in accordance with the applicable provisions of the Florida Insurance Code:Solicit contracts or procure applications; orEngage or hold himself or herself out as engaging in the business of analyzing or abstracting health maintenance contracts or of counseling or advising or giving opinions to persons relative to such contracts other than as a consulting actuary advising a health maintenance organization or as a salaried bona fide full-time employee so counseling and advising his or her employer relative to coverage for the employer and his or her employees.

(a)

Solicit contracts or procure applications; or

(b)

Engage or hold himself or herself out as engaging in the business of analyzing or abstracting health maintenance contracts or of counseling or advising or giving opinions to persons relative to such contracts other than as a consulting actuary advising a health maintenance organization or as a salaried bona fide full-time employee so counseling and advising his or her employer relative to coverage for the employer and his or her employees.

(2)

All qualifications, disciplinary provisions, licensing and appointment procedures, fees, and related matters contained in the Florida Insurance Code which apply to the licensing and appointment of health insurance agents by insurers shall apply to health maintenance organizations and to persons licensed or appointed by the health maintenance organization as their agents.

(3)

An examination, license, or appointment is not required of any regular salaried officer or employee of a health maintenance organization who devotes substantially all of his or her services to activities other than the solicitation of health maintenance organization contracts from the public and who receives no commission or other compensation directly dependent upon the solicitation of such contracts. This exemption does not apply to the solicitation of Medicaid eligible subscribers.

(4)

All agents and health maintenance organizations shall comply with and be subject to the applicable provisions of ss. 641.309 and 409.912(3), and all companies and entities appointing agents shall comply with s. 626.451, when marketing for any health maintenance organization licensed pursuant to this part, including those organizations under contract with the Agency for Health Care Administration to provide health care services to Medicaid recipients or any private entity providing health care services to Medicaid recipients pursuant to a prepaid health plan contract with the Agency for Health Care Administration.

Source: Section 641.386 — Agent licensing and appointment required; exceptions, https://www.­flsenate.­gov/Laws/Statutes/2024/0641.­386 (accessed Aug. 7, 2025).

641.17
Short title
641.18
Declaration of legislative intent, findings, and purposes
641.19
Definitions
641.21
Application for certificate
641.22
Issuance of certificate of authority
641.23
Revocation or cancellation of certificate of authority
641.25
Administrative penalty in lieu of suspension or revocation
641.26
Annual and quarterly reports
641.27
Examination by the department
641.28
Civil remedy
641.29
Fees
641.30
Construction and relationship to other laws
641.31
Health maintenance contracts
641.32
Acceptable payments
641.33
Certain words prohibited in name of organization
641.35
Assets, liabilities, and investments
641.36
Adoption of rules
641.37
Prohibited activities
641.38
Operational health maintenance organizations
641.183
Statutory accounting procedures
641.185
Health maintenance organization subscriber protections
641.201
Applicability of other laws
641.215
Conditions precedent to issuance or maintenance of certificate of authority
641.217
Minority recruitment and retention plans required
641.221
Continued eligibility for certificate of authority
641.225
Surplus requirements
641.227
Rehabilitation Administrative Expense Fund
641.228
Florida Health Maintenance Organization Consumer Assistance Plan
641.234
Administrative, provider, and management contracts
641.255
Acquisition, merger, or consolidation
641.261
Other reporting requirements
641.281
Injunction
641.282
Payment of judgment by health maintenance organization
641.284
Liquidation, rehabilitation, reorganization, and conservation
641.285
Insolvency protection
641.286
Levy upon deposit limited
641.305
Language used in contracts and advertisements
641.309
Standards for marketing to persons eligible for Medicare
641.312
Scope
641.313
Health maintenance contracts
641.314
Pharmacy benefit manager contracts
641.315
Provider contracts
641.316
Fiscal intermediary services
641.365
Dividends
641.385
Order to discontinue certain advertising
641.386
Agent licensing and appointment required
641.2011
Insurance holding companies
641.2015
Incorporation required
641.2017
Insurance business not authorized
641.2018
Limited coverage for home health care authorized
641.2019
Provider service network certificate of authority
641.2261
Application of solvency requirements to provider-sponsored organizations and Medicaid provider service networks
641.2342
Contract providers
641.3005
Application of ch. 85-177
641.3007
HIV infection and AIDS for contract purposes
641.3101
Additional contract contents
641.3102
Restrictions upon expulsion or refusal to issue or renew contract
641.3103
Charter, bylaw provisions
641.3104
Execution of contracts
641.3105
Validity of noncomplying contracts
641.3106
Construction of contracts
641.3107
Delivery of contract
641.3108
Notice of cancellation of contract
641.3111
Extension of benefits
641.3154
Organization liability
641.3155
Prompt payment of claims
641.3156
Treatment authorization
641.3901
Unfair methods of competition and unfair or deceptive acts or practices prohibited
641.3903
Unfair methods of competition and unfair or deceptive acts or practices defined
641.3905
General powers and duties of the department and office
641.3907
Defined unfair practices
641.3909
Cease and desist and penalty orders
641.3911
Appeals from the department or office
641.3913
Penalty for violation of cease and desist orders
641.3915
Health maintenance organization anti-fraud plans and investigative units
641.3917
Civil liability
641.3921
Conversion on termination of eligibility
641.3922
Conversion contracts
641.3923
Discrimination against providers prohibited
641.20185
High-deductible contracts for medical savings accounts
641.31015
Health maintenance organization or exclusive provider organization
641.31071
Preexisting conditions
641.31072
Special enrollment periods
641.31073
Prohibiting discrimination against individual participants and beneficiaries based on health status
641.31074
Guaranteed renewability of coverage
641.31075
Advanced practice registered nurse services
641.31076
Shared savings incentive program
641.31077
Coverage for organ transplants
641.31085
Disclosures to subscribers
641.31094
Nondiscrimination of coverage for certain surgical procedures involving bones or joints
641.31095
Coverage for mammograms
641.31096
Requirements with respect to breast cancer and routine followup care
641.31097
Decreasing inappropriate utilization of emergency care
641.31098
Coverage for individuals with developmental disabilities
641.31099
Restrictions on use of state and federal funds for state exchanges
641.39001
Soliciting or accepting new or renewal health maintenance contracts by insolvent or impaired health maintenance organization prohibited

Current through Fall 2025

§ 641.386. Agent licensing & appointment required; exceptions's source at flsenate​.gov