CHAPTER 1.5. Health Coverage Contract Notification [10199. - 10199.9.]

Chapter 1.5 added by Stats. 1990, Ch. 949, Sec. 2.

§§ 10199–10199.9 · 14 sections

1. ARTICLE 1. Purpose and Title § 10199 · 1 section

   • § 10199 The purpose of the chapter is to promote the public interest, to prevent unfair and unlawful health care business practices, and to promote adequate consumer…
2. ARTICLE 2. General Provisions §§ 10199.1–10199.49 · 8 sections

   • § 10199.1 (a) (1) An insurer or nonprofit hospital service plan or administrator acting on its behalf shall not terminate a group master policy or contract providing…
   • § 10199.2 (a) The written notice described in subdivisions (a) and (b) of Section 10199.1 shall state in italics and in 12-point type the actual dollar amount and the…
   • § 10199.3 There shall be no liability on the part of, and no cause of action of any nature shall arise against, any entity required to provide the notice or its…
   • § 10199.4 Proof of mailing a notice and the reason therefor to the appropriate entity or individual at the last known mailing address shall be sufficient proof of the…
   • § 10199.44 (a) On or after January 1, 1994, every insurer issuing, amending, or renewing group disability insurance which covers hospital, medical, or surgical expenses…
   • § 10199.46 (a) On or after January 1, 1994, every nonprofit hospital service plan issued, amended, or renewed that covers hospital, medical, or surgical expenses on a…
   • § 10199.48 (a) No health insurer shall, with regard to a group contract, change the premium rates or applicable copayments or coinsurances or deductibles for the length…
   • § 10199.49 (a) This section shall apply to grandfathered health insurance policies and nongrandfathered health insurance policies in the individual or small group markets…
3. ARTICLE 3. Administration and Enforcement §§ 10199.5–10199.9 · 5 sections

   • § 10199.5 The commissioner may, as conditions warrant, pursuant to Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code,…
   • § 10199.6 (a) The commissioner shall have the administrative authority to assess penalties against insurers, nonprofit hospital service plans, administrators, and…
   • § 10199.7 (a) Any production agent, administrator, or other person or entity engaged in the business of insurance, other than an insurer, who violates this chapter is…
   • § 10199.8 In addition to any other penalty provided by law or the availability of any administrative procedure, if an insurer, after notice and hearing, is found to have…
   • § 10199.9 This chapter applies to all master group policies and master group nonprofit hospital service plan contracts providing hospital, medical, or surgical benefits,…