ARTICLE 5.5. Health Care Service Plan Coverage Contract Changes
Heading of Article 5.5 amended by Stats. 2002, Ch. 336, Sec. 2.
§§ 1374.20–1374.29 · 11 sections
- § 1374.20 (a) No group health care service plan shall change the premium rates or applicable copayments or coinsurances or deductibles for the length of the contract,…
- § 1374.21 (a) (1) A change in premium rates or changes in coverage stated in a small group health care service plan contract shall not become effective unless the plan…
- § 1374.22 (a) The written notice described in subdivision (a) of Section 1374.21 shall be delivered by mail at the last known address at least 60 days prior to the…
- § 1374.23 Notwithstanding subdivision (a) of Section 1374.22, if the plan does not guarantee either premium rates or plan design or benefits for any specified time…
- § 1374.24 There shall be no liability on the part of, and no cause of action of any nature shall arise against, any health care service plan required to provide the…
- § 1374.25 Proof of mailing a notice and the reason therefor to the appropriate entity or individual at the most current policy or plan address shall be sufficient proof…
- § 1374.255 (a) This section shall apply to grandfathered health care service plan contracts and nongrandfathered health care service plan contracts in the individual or…
- § 1374.26 The director may, as required by this article, or from time to time as conditions warrant, pursuant to Chapter 3.5 (commencing with Section 11340) of Part 1 of…
- § 1374.27 The director may levy administrative penalties and may suspend or revoke the license or licenses issued to any health care service plan, after notice and…
- § 1374.28 In addition to any other penalty provided by law or the availability of any administrative procedure, if a health care service plan, after notice and hearing,…
- § 1374.29 The purpose of this article is to promote the public interest, to prevent unfair and unlawful health care business practices, and to promote adequate consumer…