California Health and Safety Code ARTICLE 3.17 - Grandfathered Small Employer Plans

Section 1357.600.
As used in this article, the following definitions shall apply:(a) “Dependent” means the spouse or registered domestic partner, or child, of an eligible employee, subject to...
Section 1357.601.
This article shall apply only to grandfathered small group health care service plan contracts and only with respect to plan years commencing on or after...
Section 1357.602.
(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 article...
Section 1357.603.
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 acting...
Section 1357.604.
(a) (1) A plan shall fairly and affirmatively renew a grandfathered health plan contract with a small employer.(2) Each plan shall make available to each small employer all...
Section 1357.606.
(a) For plan contracts expiring after July 1, 1994, 60 days prior to July 1, 1994, an association that meets the definition of a guaranteed association,...
Section 1357.607.
A small employer health care service plan contract shall not impose a preexisting condition provision or a waiting or affiliation period upon any individual.(Repealed and...
Section 1357.608.
Nothing in this article shall be construed as prohibiting a health care service plan from restricting enrollment of late enrollees to open enrollment periods consistent...
Section 1357.609.
All grandfathered small employer health care service plan contracts shall provide to subscribers and enrollees at least all of the basic health care services included...
Section 1357.610.
(a) No plan shall be required by the provisions of this article:(1) To offer coverage under a small employer’s health care service plan contract to an otherwise...
Section 1357.611.
(a) The director may require a plan to discontinue the renewal of grandfathered small employer health care service plan contracts or the offering or acceptance of...
Section 1357.612.
Premiums for grandfathered contracts renewed by plans on or after January 1, 2014, shall be subject to the following requirements:(a) (1) The premium for in force business...
Section 1357.613.
Plans shall apply standard employee risk rates consistently with respect to all small employers.(Added by Stats. 2012, Ch. 852, Sec. 6. (AB 1083) Effective January...
Section 1357.614.
In connection with the renewal of a grandfathered small employer health care service plan contract, each plan shall make a reasonable disclosure, as part of...
Section 1357.615.
(a) At least 20 business days prior to renewing or amending a small employer health care service plan contract subject to this article, a plan shall...
Section 1357.616.
(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 responsibility...
Section 1357.618.
(a) The department may adopt emergency regulations implementing this article no later than August 31, 2013. The department may readopt any emergency regulation authorized by this...

Last modified: October 22, 2018