ARTICLE 4.5. Review of Rate Increases
Article 4.5 added by Stats. 2010, Ch. 661, Sec. 7.
§§ 10181–10181.14 · 17 sections
- § 10181 For purposes of this article, the following definitions shall apply: (a) (1) “Blended” means a rating method that combines community rating and experience…
- § 10181.2 This article shall apply to a health insurance policy offered in the individual or group market in California, including a health insurance policy covering…
- § 10181.3 (a) (1) A health insurer shall file with the department all required rate information for grandfathered individual and grandfathered and nongrandfathered group…
- § 10181.31 (a) Upon receiving notice of a rate change, a large group contractholder that has coverage that is experience rated in whole or blended and that meets the…
- § 10181.35 (a) It is the intent of the Legislature in enacting this section to ensure that insureds benefit from reductions in the rate of growth in health care costs as…
- § 10181.4 (a) For large group health insurance policies, all health insurers shall file with the department at least 60 days prior to implementing any rate change all…
- § 10181.45 (a) For large group health insurance policies, a health insurer shall file with the department the weighted average rate increase for all large group benefit…
- § 10181.46 (a) A health insurer, not including a specialized health insurance policy, shall annually report to the department the information described in subdivision (c)…
- § 10181.5 Notwithstanding any provision in a contract between a health insurer and a provider, the department may request from a health insurer any information required…
- § 10181.6 (a) A filing submitted under this article shall be actuarially sound. (b) (1) The health insurer shall contract with an independent actuary or actuaries…
- § 10181.7 (a) Notwithstanding Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code, all information submitted under this article shall be…
- § 10181.8 A health insurance policy subject to Section 10181.3 or 10181.4 shall file a separate schedule documenting the cost savings associated with Section 10176.11…
- § 10181.9 (a) On or before July 1, 2012, the commissioner may issue guidance to health insurers regarding compliance with this article. This guidance shall not be…
- § 10181.10 (a) (1) A health insurer shall annually provide claims data at no charge to a large group purchaser if the large group purchaser requests the information and…
- § 10181.11 (a) Whenever it appears to the department that any person has engaged, or is about to engage, in any act or practice constituting a violation of this article,…
- § 10181.13 The department shall do all of the following in a manner consistent with applicable federal laws, rules, and regulations: (a) Provide data to the United States…
- § 10181.14 (a) This section shall apply only to a specialized health insurance policy covering dental services, as defined in Section 10120.41. (b) On or after January 1,…