CHAPTER 9.5. Individual Access to Contracts for Health Care Services
Chapter 9.5 added by Stats. 2000, Ch. 810, Sec. 5.
§§ 10900–10902.5 · 14 sections
- § 10900 As used in this chapter: (a) “Benefit plan design” means a specific health coverage policy issued by a carrier to individuals, to trustees of associations that…
- § 10901 Every carrier offering health benefit plans to individuals shall comply with the provisions of this chapter and the rules adopted thereunder.
- § 10901.1 Nothing in this chapter shall be construed to preclude the application of this chapter to either of the following: (a) an association, trust, or other…
- § 10901.2 (a) Commencing January 1, 2001, a carrier shall fairly and affirmatively offer, market, and sell the health benefit plan designs described in subdivision (d)…
- § 10901.3 (a) (1) After the federally eligible defined individual submits a completed application form for a health benefit plan, the carrier shall, within 30 days,…
- § 10901.4 A carrier may not exclude any federally eligible defined individual, or his or her dependents, who would otherwise be entitled to health care services, on the…
- § 10901.7 (a) The commissioner may require a carrier to discontinue the offering of health benefit plans or the acceptance of applications from any individual upon a…
- § 10901.8 All health benefit plans offered to a federally eligible defined individual shall be renewable with respect to the individual and dependents at the option of…
- § 10901.9 (a) Commencing January 1, 2001, premiums for health benefit plans offered, delivered, amended, or renewed by carriers shall be subject to the following…
- § 10902 Carriers shall apply premiums consistently with respect to all federally eligible defined individuals who apply for coverage.
- § 10902.1 In connection with the offering for sale of any health benefit plan designed to an individual, each carrier shall make a reasonable disclosure, as part of its…
- § 10902.2 Nothing in this chapter shall be construed to require a health benefit plan to offer a contract to an individual if the carrier does not otherwise offer…
- § 10902.3 (a) At least 20 business days prior to renewing or amending a health benefit plan contract subject to this chapter, or at least 20 business days prior to the…
- § 10902.5 The commissioner may issue regulations that are necessary to carry out the purposes of this chapter. Any rules and regulations adopted pursuant to this chapter…