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Mr. Lewis W. Fishman General Counsel, Lower Florida Keys Hospital District Two Datran Center, Suite 1121 9130 South Dadeland Boulevard Miami, Florida 33156

Dear Mr. Fishman:

On behalf of the Lower Florida Keys Hospital District's Board of Commissioners, you ask substantially the following question:

Does the Lower Florida Keys Hospital District have the authority under its enabling legislation to grant or loan funds to a nonprofit corporation for the purpose of establishing a self-insurance plan that will sell or make available health insurance to residents of Monroe County?

During the 2004…