The Office of Insurance Regulation (Office) began investigating the activities of these companies earlier this year and has determined that they are marketing group and individual health insurance plans to small businesses and individuals, both directly and through licensed and unlicensed insurance agents, under the guise of selling an employment opportunity with Depawix that provides medical benefits. Groups and individuals who wish to participate in the Green Cross program are, in addition to any existing employment they may have with a Florida business, required to be “dually employed” by Depawix.
Among other requirements listed in the Immediate Final Order (IFO), the companies are required to report to the Office within 10 days of the issuance of the Order, a copy of all policies issued to residents of the State of Florida as well as a detailed spreadsheet compiling the information contained in all contracts issued. The Order also requires that the companies honor and otherwise fully service all valid claims on any and all policies the companies have executed.
The companies have 30 days to file an appeal of the Order with the District Court of Appeal.
The Office's investigation parallels a similar investigation by the Department of Financial Services' Division of Agent and Agency Services; the CFO has also issued an IFO against the agents and unlicensed representatives of these entities. Consumers may determine if an insurer is licensed in Florida by visiting the Company Search tool on www.floir.com.