ARTICLE 2. Small Employer Carrier Requirements [10755.02. - 10755.18.7.]
Article 2 added by Stats. 2012, Ch. 852, Sec. 15.
§§ 10755.02–10755.18.7 · 19 sections
- § 10755.02 (a) This chapter shall apply only to grandfathered health benefit plans and only with respect to plan years commencing on or after January 1, 2014. (b) All…
- § 10755.02.1 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…
- § 10755.03 The commissioner shall have the authority to determine whether a health benefit plan is covered by this chapter, and to determine whether an employer is a…
- § 10755.04 (a) The department may adopt emergency regulations implementing this chapter no later than August 31, 2013. The department may readopt any emergency regulation…
- § 10755.05 (a) (1) Each carrier, except a self-funded employer, shall fairly and affirmatively renew all of the carrier’s health benefit plans that are sold to small…
- § 10755.05.1 (a) For contracts expiring after July 1, 1994, 60 days prior to July 1, 1994, an association that meets the definition of guaranteed association, as set forth…
- § 10755.06 Every carrier shall file with the commissioner the reasonable participation requirements that will be required in renewing its health benefit plans.…
- § 10755.08 A health benefit plan shall not impose a preexisting condition provision or a waiting or affiliation period upon any individual.
- § 10755.09 Nothing in this chapter shall be construed as prohibiting a carrier from restricting enrollment of late enrollees to open enrollment periods consistent with…
- § 10755.11 No carrier shall be required by the provisions of this chapter: (a) To include in a health benefit plan an otherwise eligible employee or dependent, when the…
- § 10755.13 All grandfathered health benefit plans shall be renewable with respect to all eligible employees or dependents at the option of the policyholder,…
- § 10755.14 Premiums for grandfathered health benefit plans written or administered by carriers on or after the January 1, 2014, shall be subject to the following…
- § 10755.15 Carriers shall apply standard employee risk rates consistently with respect to all small employers.
- § 10755.16 In connection with the renewal of any grandfathered health benefit plan to small employers: Each carrier shall make a reasonable disclosure, as part of its…
- § 10755.17 (a) No carrier shall renew coverage subject to this chapter until it has done all of the following: (1) A statement has been filed with the commissioner…
- § 10755.18 (a) In addition to any other remedy permitted by law, the commissioner shall have the administrative authority to assess penalties against carriers, insurance…
- § 10755.18.5 (a) (1) In addition to any other remedy permitted by law, whenever the commissioner shall have reason to believe that any carrier, production agent, or other…
- § 10755.18.6 (a) Carriers may enter into contractual agreements with qualified associations, as defined in subdivision (b), under which these qualified associations may…
- § 10755.18.7 Notwithstanding any other provision of law, no provision of this chapter shall be construed to limit the applicability of any other provision of the Insurance…