California Health and Safety Code ARTICLE 3.1 - Small Employer Group Access to Contracts for Health Care Services

• Section 1357.
  As used in this article:(a) “Dependent” means the spouse or child of an eligible employee, subject to applicable terms of the health care plan contract covering...
• Section 1357.01.
  Every health care service plan offering plan contracts to small employer groups shall in addition to complying with the provisions of this chapter and the...
• Section 1357.02.
  (a)  A health care service plan providing or arranging for the provision of basic health care services to small employers shall be subject to this...
• Section 1357.025.
  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 organization...
• Section 1357.03.
  (a) (1) Upon the effective date of this article, a plan shall fairly and affirmatively offer, market, and sell all of the plan’s health care service plan...
• Section 1357.035.
  (a)  Between July 26, 1993, and October 24, 1993, as well as 60 days prior to the expiration of an existing plan contract that expires...
• Section 1357.04.
  (a)  After a small employer submits a completed application form for a plan contract, the plan shall, within 30 days, notify the employer of the...
• Section 1357.05.
  Except in the case of a late enrollee, or for satisfaction of a preexisting condition clause in the case of initial coverage of an eligible...
• Section 1357.06.
  (a) (1) Preexisting condition provisions of a plan contract shall not exclude coverage for a period beyond six months following the individual’s effective date of coverage and...
• Section 1357.07.
  No plan contract may exclude late enrollees from coverage for more than 12 months from the date of the late enrollees application for coverage. No...
• Section 1357.08.
  All health care service plan contracts offered to a small employer shall provide to subscribers and enrollees at least all of the basic health care...
• Section 1357.09.
  No plan shall be required to offer a health care service plan contract or accept applications for the contract pursuant to this article in the...
• Section 1357.10.
  The director may require a plan to discontinue the offering of contracts or acceptance of applications from any small employer or group with more than...
• Section 1357.12.
  Premiums for contracts offered or delivered by plans on or after the effective date of this article shall be subject to the following requirements:(a)  (1)...
• Section 1357.13.
  Plans shall apply standard employee risk rates consistently with respect to all small employers.(Added by Stats. 1992, Ch. 1128, Sec. 5. Effective January 1, 1993....
• Section 1357.14.
  In connection with the offering for sale of any plan contract to a small employer, each plan shall make a reasonable disclosure, as part of...
• Section 1357.15.
  (a) At least 20 business days prior to renewing or amending a plan contract subject to this article which will be in force on the operative...
• Section 1357.16.
  (a)  Health care service plans may enter into contractual agreements with qualified associations, as defined in subdivision (b), under which these qualified associations may assume...
• Section 1357.17.
  The director may issue regulations that are necessary to carry out the purposes of this article. Prior to the public comment period required on the...
• Section 1357.19.
  This article shall not apply to a health care service plan contract that is subject to Article 3.16 (commencing with Section 1357.500) or Article 3.17...

Last modified: October 22, 2018