ARTICLE 7.5. Underwriting Practices

Article 7.5 added by Stats. 1993, Ch. 1210, Sec. 3.

§§ 1389.1–1389.8 · 10 sections

• § 1389.1 (a) The director shall not approve any plan contract unless the director finds that the application conforms to both of the following requirements: (1) All…
• § 1389.2 At the request of the director, a health care service plan shall provide a written statement of the actuarial basis for any medical underwriting decision on…
• § 1389.21 (a) A health care service plan shall not rescind a plan contract, or limit any provisions of a plan contract, once an enrollee is covered under the contract…
• § 1389.25 (a) (1) This section shall apply only to a full service health care service plan offering health coverage in the individual market in California and shall not…
• § 1389.3 No health care service plan shall engage in the practice of postclaims underwriting. For purposes of this section, “postclaims underwriting” means the…
• § 1389.4 (a) A full service health care service plan that issues, renews, or amends individual health plan contracts shall be subject to this section. (b) A health care… see note
• § 1389.5 (a) This section applies to a health care service plan that provides coverage under an individual plan contract that is issued, amended, delivered, or renewed…
• § 1389.6 Compensation of a person or entity employed by, or contracted with, a health care service plan shall not be based on, or related in any way to, the number of…
• § 1389.7 (a) Every health care service plan that offers, issues, or renews individual plan contracts shall offer to any individual, who was covered under an individual… see note
• § 1389.8 (a) Notwithstanding any other provision of law, an agent, broker, solicitor, solicitor firm, or representative who assists an applicant in submitting an…