California Health and Safety Code ARTICLE 5.5 - Health Care Service Plan Coverage Contract Changes

  • Section 1374.20.
    (a)  No group health care service plan shall change the premium rates or applicable copayments or coinsurances or deductibles for the length of the contract,...
  • Section 1374.21.
    (a) (1) A change in premium rates or changes in coverage stated in a group health care service plan contract shall not become effective unless the plan...
  • Section 1374.22.
    (a) The written notice described in subdivision (a) of Section 1374.21 shall be delivered by mail at the last known address at least 60 days prior...
  • Section 1374.23.
    Notwithstanding subdivision (a) of Section 1374.22, if the plan does not guarantee either premium rates or plan design or benefits for any specified time period...
  • Section 1374.24.
    There shall be no liability on the part of, and no cause of action of any nature shall arise against, any health care service plan...
  • Section 1374.25.
    Proof of mailing a notice and the reason therefor to the appropriate entity or individual at the most current policy or plan address shall be...
  • Section 1374.255.
    (a) This section shall apply to grandfathered health care service plan contracts and nongrandfathered health care service plan contracts in the individual or small group markets...
  • Section 1374.26.
    The director may, as required by this article, or from time to time as conditions warrant, pursuant to Chapter 3.5 (commencing with Section 11340) of...
  • Section 1374.27.
    The director may levy administrative penalties and may suspend or revoke the license or licenses issued to any health care service plan, after notice and...
  • Section 1374.28.
    In addition to any other penalty provided by law or the availability of any administrative procedure, if a health care service plan, after notice and...
  • Section 1374.29.
    The purpose of this article is to promote the public interest, to prevent unfair and unlawful health care business practices, and to promote adequate consumer...

Last modified: October 22, 2018