A stop-loss insurance policy issued, reissued, or renewed on or after January 1, 2014, and prior to January 1, 2016, to a small employer shall not contain any of the following provisions:
(a) An individual attachment point for a policy year that is less than thirty-five thousand dollars ($35,000).
(b) An aggregate attachment point for a policy year that is less than the greater of one of the following:
(1) Five thousand dollars ($5,000) times the total number of group members.
(2) One hundred twenty percent of expected claims.
(3) Thirty-five thousand dollars ($35,000).
(c) A provision for direct coverage of an employee or dependent of an employee.
(Added by Stats. 2013, Ch. 443, Sec. 1. (SB 161) Effective January 1, 2014.)
Last modified: October 25, 2018