California Health and Safety Code ARTICLE 7.5 - Underwriting Practices

• Section 1389.1.
  (a) The director shall not approve any plan contract unless the director finds that the application conforms to both of the following requirements:(1) All applications for coverage...
• Section 1389.2.
  At the request of the director, a health care service plan shall provide a written statement of the actuarial basis for any medical underwriting decision...
• Section 1389.21.
  (a) A health care service plan shall not rescind a plan contract, or limit any provisions of a plan contract, once an enrollee is covered under...
• Section 1389.25.
  (a) (1) This section shall apply only to a full service health care service plan offering health coverage in the individual market in California and shall not...
• Section 1389.3.
  No health care service plan shall engage in the practice of postclaims underwriting. For purposes of this section, “postclaims underwriting” means the rescinding, canceling, or...
• Section 1389.4.
  (a) A full service health care service plan that issues, renews, or amends individual health plan contracts shall be subject to this section.(b) A health care service...
• Section 1389.4.a.
  (a) A full service health care service plan that renews individual grandfathered health benefit plans shall be subject to this section.(b) A health care service plan subject...
• Section 1389.5.
  (a) This section applies to a health care service plan that provides coverage under an individual plan contract that is issued, amended, delivered, or renewed on...
• Section 1389.6.
  Compensation of a person or entity employed by, or contracted with, a health care service plan shall not be based on, or related in any...
• Section 1389.7.
  (a) Every health care service plan that offers, issues, or renews individual plan contracts shall offer to any individual, who was covered under an individual plan...
• Section 1389.7.a.
  (a) Every health care service plan that offers, issues, or renews individual plan contracts shall offer to any individual, who was covered by the plan under...
• Section 1389.8.
  (a) Notwithstanding any other provision of law, an agent, broker, solicitor, solicitor firm, or representative who assists an applicant in submitting an application to a health...

Last modified: October 22, 2018