ARTICLE 3.17. Grandfathered Small Employer Plans
Article 3.17 added by Stats. 2012, Ch. 852, Sec. 6.
§§ 1357.600–1357.618 · 17 sections
- § 1357.600 As used in this article, the following definitions shall apply: (a) “Dependent” means the spouse or registered domestic partner, or child, of an eligible…
- § 1357.601 This article shall apply only to grandfathered small group health care service plan contracts and only with respect to plan years commencing on or after…
- § 1357.602 (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…
- § 1357.603 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…
- § 1357.604 (a) (1) A plan shall fairly and affirmatively renew a grandfathered health plan contract with a small employer. (2) Each plan shall make available to each…
- § 1357.606 (a) For plan contracts expiring after July 1, 1994, 60 days prior to July 1, 1994, an association that meets the definition of a guaranteed association, as set…
- § 1357.607 A small employer health care service plan contract shall not impose a preexisting condition provision or a waiting or affiliation period upon any individual.
- § 1357.608 Nothing in this article shall be construed as prohibiting a health care service plan from restricting enrollment of late enrollees to open enrollment periods…
- § 1357.609 All grandfathered small employer health care service plan contracts shall provide to subscribers and enrollees at least all of the basic health care services…
- § 1357.610 (a) No plan shall be required by the provisions of this article: (1) To offer coverage under a small employer’s health care service plan contract to an…
- § 1357.611 (a) The director may require a plan to discontinue the renewal of grandfathered small employer health care service plan contracts or the offering or acceptance…
- § 1357.612 Premiums for grandfathered contracts renewed by plans on or after January 1, 2014, shall be subject to the following requirements: (a) (1) The premium for in…
- § 1357.613 Plans shall apply standard employee risk rates consistently with respect to all small employers.
- § 1357.614 In connection with the renewal of a grandfathered small employer health care service plan contract, each plan shall make a reasonable disclosure, as part of…
- § 1357.615 (a) At least 20 business days prior to renewing or amending a small employer health care service plan contract subject to this article, a plan shall file a…
- § 1357.616 (a) Health care service plans may enter into contractual agreements with qualified associations, as defined in subdivision (b), under which these qualified…
- § 1357.618 (a) The department may adopt emergency regulations implementing this article no later than August 31, 2013. The department may readopt any emergency regulation…