California Health and Safety Code ARTICLE 3.16 - Nongrandfathered Small Employer Plans

• Section 1357.500.
  As used in this article, the following definitions shall apply:(a) “Child” means a child described in Section 22775 of the Government Code and subdivisions (n) to...
• Section 1357.501.
  This article shall apply only to nongrandfathered small employer health care service plan contracts and only with respect to plan years beginning on or after...
• Section 1357.502.
  (a) A health care service plan providing or arranging for the provision of essential health benefits, as defined by the state pursuant to Section 1302 of...
• Section 1357.502.5.
  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 1357.503.
  (a) (1) On and after October 1, 2013, a plan shall fairly and affirmatively offer, market, and sell all of the plan’s small employer health care service...
• Section 1357.503.035.
  (a) For plan contracts subject to this article, an association that meets the definition of a guaranteed association, as set forth in Section 1357.500, except for...
• Section 1357.504.
  (a) With respect to small employer health care service plan contracts offered outside the Exchange, after a small employer submits a completed application form for a...
• Section 1357.506.
  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contract shall not impose a preexisting condition provision or a waiting or affiliation period upon any individual.(Repealed and...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 1357.507.
  Nothing in this article shall be construed as prohibiting a health care service plan from restricting enrollment of late enrollees to open enrollment periods provided...
• Section 1357.508.
  A small employer health care service plan contract shall provide to subscribers and enrollees at least all of the essential health benefits as defined by...
• Section 1357.509.
  (a) To the extent permitted by PPACA, a plan shall not be required to offer a health care service plan contract or accept applications for the...
• Section 1357.510.
  The director may require a plan to discontinue the offering of contracts or acceptance of applications from any small employer or group upon a determination...
• Section 1357.512.
  (a) The premium rate for a small employer health care service plan contract issued, amended, or renewed on or after January 1, 2014, shall vary with...
• Section 1357.514.
  In connection with the offering for sale of a small employer health care service plan contract subject to this article, each plan shall make a...
• Section 1357.515.
  (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 1357.516.
  (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...

Last modified: October 22, 2018