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FL S0202

FL S0202: Mandatory Human Reviews of Insurance Claim Denials Verified

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Disclaimer: This page provides general informational summaries only and does not constitute legal advice. AI-generated content may contain errors. Always consult a qualified attorney for guidance specific to your situation. Read full disclaimer →
AI Summary

The bill mandates that insurance claim denials be made by human professionals, prohibiting AI as the sole basis. The Office of Insurance Regulation can conduct examinations under certain circumstances.

Business Impact

If you operate in the insurance sector, you must ensure claim denials are reviewed by qualified professionals by [date] or face regulatory penalties.

State
Florida
Bill Number
S0202
Status
Dead
Risk Level
High
Category
Comprehensive
Last Action
Mar 13, 2026
Last Verified
May 22, 2026
Data Updated
May 22, 2026
What do these statuses mean?
Introduced — Filed in the legislature; not yet heard in committee
In Committee — Assigned to and being reviewed by a legislative committee
Passed — Approved by one or both chambers; awaiting further action
Signed / Enacted — Signed into law by the governor; may or may not be in effect yet
Dead / Vetoed — Vetoed, failed to pass, or session expired without action
Unknown — Status data not yet available or awaiting classification

Affected Industries

Insurance Finance

Topics How we classify →

What This Means

Florida's new legislation requires that all insurance claim denials be made by human professionals, ensuring that automated systems like AI and algorithms cannot solely dictate these decisions. The Office of Insurance Regulation is authorized to conduct market conduct examinations and investigations under certain circumstances.

Key Provisions

Latest Legislative Action

Died in Banking and Insurance

Compliance Checklist

Ensure all claim denials are made by qualified human professionals.
Who: Insurance companies
Deadline: By July 1, 2026
Penalty: Regulatory scrutiny and potential penalties
Maintain detailed records of claim denial decisions.
Who: Insurance companies
Deadline: Ongoing
Penalty: Regulatory scrutiny and potential penalties
Include required information in denial communications.
Who: Insurance companies
Deadline: By July 1, 2026
Penalty: Regulatory scrutiny and potential penalties

Related & Companion Bills

Florida S0794 — Mandatory Human Reviews of Insurance Claim Denials Florida H0527 — Mandatory Human Reviews of Insurance Claim Denials Florida H1555 — Insurers' Liabilities and Responsibilities

Full Legal Analysis

The bill requires that any decision to deny an insurance claim must be made by a human professional, explicitly prohibiting the use of algorithms, artificial intelligence, or machine learning as the sole basis for such decisions. The Office of Insurance Regulation is empowered to conduct market conduct examinations and investigations under certain circumstances.

Official Source


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