California Insurance Code ARTICLE 4.5 - Review of Rate Increases

• Section 10181.
  For purposes of this article, the following definitions shall apply:(a) “Large group health insurance policy” means a group health insurance policy other than a policy issued...
• Section 10181.2.
  This article shall apply to health insurance policies offered in the individual or group market in California. However, this article shall not apply to a...
• Section 10181.3.
  (a) All health insurers shall file with the department all required rate information for grandfathered individual and grandfathered and nongrandfathered small group health insurance policies at...
• Section 10181.4.
  (a) For large group health insurance policies, all health insurers shall file with the department at least 60 days prior to implementing any rate change all...
• Section 10181.45.
  (a) For large group health insurance policies, each health insurer shall file with the department the weighted average rate increase for all large group benefit designs...
• Section 10181.5.
  Notwithstanding any provision in a contract between a health insurer and a provider, the department may request from a health insurer any information required under...
• Section 10181.6.
  (a) A filing submitted under this article shall be actuarially sound.(b) (1) The health insurer shall contract with an independent actuary or actuaries consistent with this section.(2) A filing...
• Section 10181.7.
  (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 10181.9.
  (a) On or before July 1, 2012, the commissioner may issue guidance to health insurers regarding compliance with this article. This guidance shall not be subject...
• Section 10181.10.
  (a) (1) A health insurer shall annually provide claims data at no charge to a large group purchaser if the large group purchaser requests the information and...
• Section 10181.11.
  (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 10181.13.
  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