A stop-loss insurance policy issued, reissued, or renewed on or after January 1, 2014, and prior to January 1, 2016, to a small employer shall not contain any of the following provisions:
(a) An individual attachment point for a policy year that is less than thirty-five thousand dollars ($35,000).
(b) An aggregate attachment point for a policy year that is less than the greater of one of the following:
(1) Five thousand dollars ($5,000) times the total number of group members.
(2) One hundred twenty percent of expected claims.
(3) Thirty-five thousand dollars ($35,000).
(c) A provision for direct coverage of an employee or dependent of an employee.
","text":"A stop-loss insurance policy issued, reissued, or renewed on or after January 1, 2014, and prior to January 1, 2016, to a small employer shall not contain any of the following provisions: (a) An individual attachment point for a policy year that is less than thirty-five thousand dollars ($35,000). (b) An aggregate attachment point for a policy year that is less than the greater of one of the following: (1) Five thousand dollars ($5,000) times the total number of group members. (2) One hundred twenty percent of expected claims. (3) Thirty-five thousand dollars ($35,000). (c) A provision for direct coverage of an employee or dependent of an employee.","otherVersions":[],"url":"https://blackletter.si/insurance-code/stop-loss-insurance-10752-3","source":"California Legislative Information bulk export (pubinfo)"}