ARTICLE 4. Purchasing Pool for Small Employers [10730. - 10750.]

Article 4 added by Stats. 1992, Ch. 1128, Sec. 10.

§§ 10730–10750 · 25 sections

§ 10730 (a) The Voluntary Alliance Uniting Employers Purchasing Program is hereby created and shall be administered by the Major Risk Medical Insurance Board. (b) No…
§ 10731 The board may do any of the following: (a) Enter into contracts with carriers to provide health benefits coverage to eligible employees and their dependents.…
§ 10731.2 Any person or entity subject to the requirements of this chapter shall comply with the standards set forth in Chapter 7 (commencing with Section 3750) of Part…
§ 10732 The board shall establish geographic areas within which participating carriers may offer health coverage to eligible employees and dependents.
§ 10733 On or after the effective date of this chapter, the board shall enter into contracts with carriers for the purpose of providing health benefits coverage to…
§ 10733.5 Notwithstanding any other provision of law, an employer purchasing coverage through the program shall not be determined to be no longer eligible to participate…
§ 10734 (a) Notwithstanding any other provision of law, the board shall not be subject to licensure or regulation by the Department of Insurance or the Department of…
§ 10735 The board shall contract with a broad range of carriers in an area, if available, to ensure that enrollees have a choice from among a reasonable number and…
§ 10737 The board shall use appropriate and efficient means to notify small employers of the availability of sponsored health coverage from the program.
§ 10738 The board shall make available to small employers marketing materials that accurately summarize the benefits plans and rates that are offered by the carrier…
§ 10739 Unless authorized by the board, no participating carrier shall, in an area served by the program, directly, or through an employee, agent, or contractor,…
§ 10740 Participating carriers may contract with agents or brokers to provide marketing and servicing of health benefits coverage offered through the program. Any…
§ 10741 The board shall enforce conditions of participation in the program for small employers and enrollees which shall conform with the requirements of this chapter.
§ 10742 The board shall establish a mechanism to collect premiums from small employers, including remittance of the share of the premium paid by the enrollee.
§ 10743 The board may prohibit employers or employees who drop coverage after enrolling in the pool from reenrolling in the program for up to 12 months.
§ 10744 The board shall arrange to pay contractors as specified in program contracts.
§ 10745 The board shall pay participating carriers their contracted rates.
§ 10746 Participating carriers shall offer rates to small employers or enrollees in the program that, at a minimum, are consistent with the program regulations and…
§ 10747 The board may adjust payments made to a carrier if the board finds that the carrier has a significantly disproportionate share of high- or low-risk enrollees.…
§ 10748 If a small employer, employee, or dependent of a small employer is dissatisfied with any action or failure to act which has occurred in connection with…
§ 10748.5 No later than three years from the effective date of this article, the board shall issue a request for proposals that solicits nonprofit entities to submit…
§ 10748.6 The board shall accept and review proposals submitted from nonprofit entities for assumption of administrative and financial responsibility of the program at…
§ 10748.7 There is in the program a five-member small employer advisory panel to be appointed by the board to provide consultation to the board on program design and…
§ 10749 There is created a Voluntary Alliance Uniting Employers Fund which shall consist of moneys collected pursuant to this article and any funds loaned by the board…
§ 10750 This chapter shall not apply to a health benefit plan that is subject to Chapter 8.01 (commencing with Section 10753) or Chapter 8.02 (commencing with Section…