California Insurance Code ARTICLE 2 - Small Employer Carrier Requirements

Section 10753.02.
(a) This chapter shall apply only to nongrandfathered health benefit plans and only with respect to plan years commencing on or after January 1, 2014.(b) All carriers...
Section 10753.02.1.
Any person or entity subject to the requirements of this chapter shall comply with the standards set forth in Chapter 7 (commencing with Section 3750)...
Section 10753.03.
The commissioner shall have the authority to determine whether a health benefit plan is covered by this chapter, and to determine whether an employer is...
Section 10753.04.
The commissioner may issue regulations that are necessary to carry out the purposes of this chapter.(Added by Stats. 2012, Ch. 852, Sec. 14. (AB 1083)...
Section 10753.05.
(a) No group or individual policy or contract or certificate of group insurance or statement of group coverage providing benefits to employees of small employers as...
Section 10753.05.2.
(a) For contracts expiring after July 1, 1994, 60 days prior to July 1, 1994, an association that meets the definition of guaranteed association, as set...
Section 10753.06.
Every carrier shall file with the commissioner the reasonable participation requirements and employer contribution requirements that are to be included in its health benefit plans....
Section 10753.06.5.
(a) With respect to small employer health benefit plans offered outside the Exchange, after a small employer submits a completed application, the carrier shall, within 30...
Section 10753.08.
A health benefit plan shall not impose a preexisting condition provision or a waiting or affiliation period upon any individual.(Repealed and added by Stats. 2014,...
Section 10753.09.
Nothing in this chapter shall be construed as prohibiting a carrier from restricting enrollment of late enrollees to open enrollment periods provided under Section 10753.05...
Section 10753.11.
(a) To the extent permitted by PPACA, a carrier shall not be required by the provisions of this chapter to do any of the following:(1) Offer coverage...
Section 10753.12.
(a) A carrier shall not be required to offer coverage or accept applications for benefit plan designs pursuant to this chapter where the carrier demonstrates to...
Section 10753.13.
All health benefit plans subject to this chapter shall be renewable with respect to all eligible employees or dependents at the option of the policyholder,...
Section 10753.14.
(a) The premium rate for a small employer health benefit plan issued, amended, or renewed on or after January 1, 2014, shall vary with respect to...
Section 10753.16.
In connection with the offering for sale of a health benefit plan subject to this chapter to small employers:Each carrier shall make a reasonable disclosure,...
Section 10753.17.
(a) No carrier shall provide or renew coverage subject to this chapter until a statement has been filed with the commissioner listing all of the carrier’s...
Section 10753.18.
(a) In addition to any other remedy permitted by law, the commissioner shall have the administrative authority to assess penalties against carriers, insurance producers, and other...
Section 10753.18.5.
(a) (1) In addition to any other remedy permitted by law, whenever the commissioner shall have reason to believe that any carrier, production agent, or other person...
Section 10753.18.55.
(a) Carriers may enter into contractual agreements with qualified associations, as defined in subdivision (b), under which these qualified associations may assume responsibility for performing specific...
Section 10753.18.7.
Notwithstanding any other provision of law, no provision of this chapter shall be construed to limit the applicability of any other provision of the Insurance...

Last modified: October 22, 2018