ARTICLE 5. Stop-Loss Insurance

Article 5 added by Stats. 2013, Ch. 443, Sec. 1.

§§ 10752–10752.8 · 11 sections

• § 10752 As used in this article, the following definitions shall apply: (a) “Attachment point” means the amount of health claims incurred by a small employer in a…
• § 10752.1 A stop-loss insurer shall not exclude any employee or dependent on the basis of an actual or expected health status-related factor. Health status-related…
• § 10752.2 A stop-loss insurer shall renew, at the option of the small employer, all stop-loss insurance policies written, issued, administered, or renewed on or after…
• § 10752.3 A stop-loss insurance policy issued, reissued, or renewed on or after January 1, 2014, and prior to January 1, 2016, to a small employer shall not contain any…
• § 10752.4 A stop-loss insurance policy issued, reissued, or renewed on or after January 1, 2016, to a small employer shall not contain any of the following provisions:…
• § 10752.43 Sections 10752.3 and 10752.4 do not apply to a stop-loss insurance policy provided to a small employer that was in effect prior to September 1, 2013. A…
• § 10752.46 On April 1, 2014, and on April 1 annually thereafter, a stop-loss insurer shall report to the Department of Insurance the number of small employer stop-loss…
• § 10752.5 The commissioner may adopt regulations as may be necessary to carry out the purposes of this article. In adopting regulations, the commissioner shall comply…
• § 10752.6 A stop-loss insurer that violates the provisions of this article is subject to the remedies and administrative penalties applicable to insurers in Sections…
• § 10752.7 Nothing in this article shall affect the ongoing operations of multiple employer welfare arrangements regulated pursuant to Article 4.7 (commencing with…
• § 10752.8 The provisions of this article are severable. If any provision of this article or its application is held invalid, that invalidity shall not affect other…