California Health and Safety Code ARTICLE 6.2 - Review of Rate Increases

• Section 1385.01.
  For purposes of this article, the following definitions shall apply:(a) “Large group health care service plan contract” means a group health care service plan contract other...
• Section 1385.02.
  This article shall apply to health care service plan contracts offered in the individual or group market in California. However, this article shall not apply...
• Section 1385.03.
  (a) All health care service plans shall file with the department all required rate information for grandfathered individual and grandfathered and nongrandfathered small group health care...
• Section 1385.04.
  (a) For large group health care service plan contracts, all health plans shall file with the department at least 60 days prior to implementing any rate...
• Section 1385.045.
  (a) For large group health care service plan contracts, each health plan shall file with the department the weighted average rate increase for all large group...
• Section 1385.05.
  Notwithstanding any provision in a contract between a health care service plan and a provider, the department may request from a health care service plan...
• Section 1385.06.
  (a) A filing submitted under this article shall be actuarially sound.(b) (1) The plan shall contract with an independent actuary or actuaries consistent with this section.(2) A filing submitted...
• Section 1385.07.
  (a) Notwithstanding Chapter 3.5 (commencing with Section 6250) of Division 7 of Title 1 of the Government Code, all information submitted under this article shall be...
• Section 1385.08.
  (a) On or before July 1, 2012, the director may issue guidance to health care service plans regarding compliance with this article. This guidance shall not...
• Section 1385.10.
  (a) (1) A health care service plan shall annually provide claims data at no charge to a large group purchaser if the large group purchaser requests the...
• Section 1385.11.
  (a) Whenever it appears to the department that any person has engaged, or is about to engage, in any act or practice constituting a violation of...
• Section 1385.13.
  The department shall do all of the following in a manner consistent with applicable federal laws, rules, and regulations:(a) Provide data to the United States Secretary...

Last modified: October 22, 2018