California Health and Safety Code ARTICLE 11.5 - Individual Access to Contracts for Health Care Services

  • Section 1399.801.
    As used in this article:(a)  “Creditable coverage” means: (1)  Any individual or group policy, contract, or program that is written or administered by a disability...
  • Section 1399.802.
    Every health care service plan offering plan contracts to individuals shall, in addition to complying with the provisions of this chapter and the rules adopted...
  • Section 1399.803.
    Nothing in this article shall be construed to preclude the application of this chapter to either of the following: (a) an association, trust, or other...
  • Section 1399.804.
    (a)  Commencing January 1, 2001, a plan shall fairly and affirmatively offer, market, and sell the health care service plan contracts described in subdivision (d)...
  • Section 1399.805.
    (a) (1) After the federally eligible defined individual submits a completed application form for a plan contract, the plan shall, within 30 days, notify the individual of...
  • Section 1399.806.
    A plan may not exclude any federally eligible defined individual, or his or her dependents, who would otherwise be entitled to health care services on...
  • Section 1399.809.
    The director may require a plan to discontinue the offering of contracts or the acceptance of applications from any individual upon a determination by the...
  • Section 1399.810.
    All health care service plan contracts offered to a federally eligible defined individual shall be renewable with respect to the individual and dependents at the...
  • Section 1399.811.
    (a) (1) Premiums for contracts offered, delivered, amended, or renewed by plans on or after January 1, 2001, shall be subject to the following requirements:(A) The premium for...
  • Section 1399.812.
    Plans shall apply premiums consistently with respect to all federally eligible defined individuals who apply for coverage.(Added by Stats. 2000, Ch. 810, Sec. 2. Effective...
  • Section 1399.813.
    In connection with the offering for sale of any plan contract to an individual, each plan shall make a reasonable disclosure, as part of its...
  • Section 1399.814.
    Nothing in this article shall be construed to require a health benefit plan to offer a contract to an individual if the plan does not...
  • Section 1399.815.
    (a) At least 20 business days prior to renewing or amending a plan contract subject to this article, or at least 20 business days prior to...
  • Section 1399.817.
    The director may issue regulations that are necessary to carry out the purposes of this article. Any rules and regulations adopted pursuant to this article...
  • Section 1399.818.
    This article shall apply to health care service plan contracts offered, delivered, amended, or renewed on or after January 1, 2001.(Added by Stats. 2000, Ch....

Last modified: October 22, 2018