{"data":{"id":"us-fl/fla.-stat.-627.446","jurisdiction":"us-fl","citation":"Fla. Stat. § 627.446","heading":"Advanced explanation of benefits.","body":"(1) As used in this section, the term “health insurer” means a health insurer issuing individual or group coverage or a health maintenance organization issuing coverage through an individual or a group contract.\n(2) Each health insurer shall prepare an advanced explanation of benefits upon receiving a patient estimate from a facility pursuant to s. 395.301(1). The health insurer must provide the advanced explanation of benefits to the insured no later than 1 business day after receiving the patient estimate from the facility or, in the case of a service scheduled at least 10 business days in advance, no later than 3 business days after receiving such estimate. The health insurer must provide an advanced explanation of benefits to the insured no later than 3 business days after the date on which the health insurer receives a request from the insured.\n(3) At a minimum, the advanced explanation of benefits must include detailed coverage and cost-sharing information pursuant to the No Surprises Act, Title I of Division BB of the Consolidated Appropriations Act, 2021, Pub. L. No. 116-260.\nHistory.—s. 6, ch. 2024-183.","path":["CHAPTER 627 INSURANCE RATES AND CONTRACTS"],"source_url":"https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute\u0026URL=0600-0699/0627/0627.html","current_through":"2026 Florida Statutes","vintage":"","retrieved_at":"2026-08-27T02:10:50Z","sha256":"0a152babb5c2af64ba06f44b56fe15a4dc82130315149d7cb7055d69a511be53","source_id":"us-fl","stale":false,"prev":"us-fl/fla.-stat.-627.445","next":"us-fl/fla.-stat.-627.451"},"notice":"GroundRules: Original legal text. Not legal advice."}