{"data":{"id":"us-fl/fla.-stat.-627.66997","jurisdiction":"us-fl","citation":"Fla. Stat. § 627.66997","heading":"Stop-loss insurance.","body":"(1) A self-insured health benefit plan established or maintained by a small employer, as defined in s. 627.6699(3)(v), is exempt from s. 627.6699 and may use a stop-loss insurance policy issued to the employer. For purposes of this subsection, the term “stop-loss insurance policy” means an insurance policy issued to a small employer which covers the small employer’s obligation for the excess cost of medical care on an equivalent basis per employee provided under a self-insured health benefit plan.\n(a) A small employer stop-loss insurance policy is considered a health insurance policy and is subject to s. 627.6699 if the policy has an aggregate attachment point that is lower than the greatest of:\n1. Two thousand dollars multiplied by the number of employees;\n2. One hundred twenty percent of expected claims, as determined by the stop-loss insurer in accordance with actuarial standards of practice; or\n3. Twenty thousand dollars.\n(b) Once claims under the small employer health benefit plan reach the aggregate attachment point set forth in paragraph (a), the stop-loss insurance policy authorized under this section must cover 100 percent of all claims that exceed the aggregate attachment point.\n(2) A self-insured health benefit plan established or maintained by an employer with 51 or more covered employees is considered health insurance if the plan’s stop-loss coverage, as defined in former s. 627.6482(14), has an aggregate attachment point that is lower than the greater of:\n(a) One hundred ten percent of expected claims, as determined by the stop-loss insurer in accordance with actuarial standards of practice; or\n(b) Twenty thousand dollars.\n(3) Stop-loss insurance carriers shall use a consistent basis for determining the number of an employer’s covered employees. Such basis may include, but is not limited to, the average number of employees employed annually or at a uniform time.\nHistory.—s. 2, ch. 2015-121; s. 21, ch. 2016-11.","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":"ab2557664b673f47210ccc9b519ab264d2d5ea0c6af0a4ad462ebae618e0433e","source_id":"us-fl","stale":false,"prev":"us-fl/fla.-stat.-627.66996","next":"us-fl/fla.-stat.-627.671"},"notice":"GroundRules: Original legal text. Not legal advice."}