California Insurance Code ARTICLE 2 - Small Employer Carrier Requirements

Section 10755.02.
(a) This chapter shall apply only to grandfathered health benefit plans and only with respect to plan years commencing on or after January 1, 2014.(b) All carriers...
Section 10755.02.1.
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 10755.03.
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 10755.04.
(a) The department may adopt emergency regulations implementing this chapter no later than August 31, 2013. The department may readopt any emergency regulation authorized by this...
Section 10755.05.
(a) (1) Each carrier, except a self-funded employer, shall fairly and affirmatively renew all of the carrier’s health benefit plans that are sold to small employers or...
Section 10755.05.1.
(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 10755.06.
Every carrier shall file with the commissioner the reasonable participation requirements that will be required in renewing its health benefit plans. Participation requirements of a...
Section 10755.08.
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benefit plan shall not impose a preexisting condition provision or a waiting or affiliation period upon any individual.(Repealed and added by Stats. 2014,...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 10755.09.
Nothing in this chapter shall be construed as prohibiting a carrier from restricting enrollment of late enrollees to open enrollment periods consistent with federal law.(Added...
Section 10755.11.
No carrier shall be required by the provisions of this chapter:(a) To include in a health benefit plan an otherwise eligible employee or dependent, when the...
Section 10755.13.
All grandfathered health benefit plans shall be renewable with respect to all eligible employees or dependents at the option of the policyholder, contractholder, or small...
Section 10755.14.
Premiums for grandfathered health benefit plans written or administered by carriers on or after the January 1, 2014, shall be subject to the following requirements:(a) (1) The...
Section 10755.15.
Carriers shall apply standard employee risk rates consistently with respect to all small employers.(Added by Stats. 2012, Ch. 852, Sec. 15. (AB 1083) Effective January...
Section 10755.16.
In connection with the renewal of any grandfathered health benefit plan to small employers:Each carrier shall make a reasonable disclosure, as part of its solicitation...
Section 10755.17.
(a) No carrier shall renew coverage subject to this chapter until it has done all of the following:(1) A statement has been filed with the commissioner listing...
Section 10755.18.
(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 10755.18.5.
(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 10755.18.6.
(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 10755.18.7.
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