- 9,744
That's exactly my point Paul.
Say I wanted to market a plan and get it approved by the DOI... To make people happy the name of the plan will be called "Bull%%!" Now, I have to get Bull%%! approved by the DOI, but how do they determine what type of plan is it? Does a plan become a mini med if it caps prescriptions @ 100K, outpatient at $30,000. Where are the guidelines???
Can only speak for Florida.
A "major medical plan" (such as I described) would be filed and approved as a major medical plan by the Florida DOI.
Anything with limits (a Mega plan would be an example) they would only approve as being called a "Hospital & Surgical" plan.
Other states of course will differ. Hope that helps!