ARTICLE 3.1. Small Employer Group Access to Contracts for Health Care Services
Article 3.1 added by Stats. 1992, Ch. 1128, Sec. 5.
§§ 1357–1357.19 · 20 sections
- § 1357 As used in this article: (a) “Dependent” means the spouse or child of an eligible employee, subject to applicable terms of the health care plan contract…
- § 1357.01 Every health care service plan offering plan contracts to small employer groups shall in addition to complying with the provisions of this chapter and the…
- § 1357.02 (a) A health care service plan providing or arranging for the provision of basic health care services to small employers shall be subject to this article if…
- § 1357.025 Nothing in this article shall be construed to preclude the application of this chapter to either of the following: (a) An association, trust, or other…
- § 1357.03 (a) (1) Upon the effective date of this article, a plan shall fairly and affirmatively offer, market, and sell all of the plan’s health care service plan…
- § 1357.035 (a) Between July 26, 1993, and October 24, 1993, as well as 60 days prior to the expiration of an existing plan contract that expires prior to July 1, 1994,…
- § 1357.04 (a) After a small employer submits a completed application form for a plan contract, the plan shall, within 30 days, notify the employer of the employer’s…
- § 1357.05 Except in the case of a late enrollee, or for satisfaction of a preexisting condition clause in the case of initial coverage of an eligible employee, a plan…
- § 1357.06 (a) (1) Preexisting condition provisions of a plan contract shall not exclude coverage for a period beyond six months following the individual’s effective date…
- § 1357.07 No plan contract may exclude late enrollees from coverage for more than 12 months from the date of the late enrollees application for coverage. No premium…
- § 1357.08 All health care service plan contracts offered to a small employer shall provide to subscribers and enrollees at least all of the basic health care services…
- § 1357.09 No plan shall be required to offer a health care service plan contract or accept applications for the contract pursuant to this article in the case of any of…
- § 1357.10 The director may require a plan to discontinue the offering of contracts or acceptance of applications from any small employer or group with more than 50…
- § 1357.12 Premiums for contracts offered or delivered by plans on or after the effective date of this article shall be subject to the following requirements: (a) (1) The…
- § 1357.13 Plans shall apply standard employee risk rates consistently with respect to all small employers.
- § 1357.14 In connection with the offering for sale of any plan contract to a small employer, each plan shall make a reasonable disclosure, as part of its solicitation…
- § 1357.15 (a) At least 20 business days prior to renewing or amending a plan contract subject to this article which will be in force on the operative date of this…
- § 1357.16 (a) Health care service plans may enter into contractual agreements with qualified associations, as defined in subdivision (b), under which these qualified…
- § 1357.17 The director may issue regulations that are necessary to carry out the purposes of this article. Prior to the public comment period required on the regulations…
- § 1357.19 This article shall not apply to a health care service plan contract that is subject to Article 3.16 (commencing with Section 1357.500) or Article 3.17…