California Insurance Code ARTICLE 4 - Purchasing Pool for Small Employers

• Section 10730.
  (a) The Voluntary Alliance Uniting Employers Purchasing Program is hereby created and shall be administered by the Major Risk Medical Insurance Board.(b) No member of the Major...
• Section 10731.
  The board may do any of the following:(a) Enter into contracts with carriers to provide health benefits coverage to eligible employees and their dependents. Any contract...
• Section 10731.2.
  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 10732.
  The board shall establish geographic areas within which participating carriers may offer health coverage to eligible employees and dependents.(Added by Stats. 1992, Ch. 1128, Sec....
• Section 10733.
  On or after the effective date of this chapter, the board shall enter into contracts with carriers for the purpose of providing health benefits coverage...
• Section 10733.5.
  Notwithstanding any other provision of law, an employer purchasing coverage through the program shall not be determined to be no longer eligible to participate in...
• Section 10734.
  (a) Notwithstanding any other provision of law, the board shall not be subject to licensure or regulation by the Department of Insurance or the Department of...
• Section 10735.
  The board shall contract with a broad range of carriers in an area, if available, to ensure that enrollees have a choice from among a...
• Section 10737.
  The board shall use appropriate and efficient means to notify small employers of the availability of sponsored health coverage from the program.(Added by Stats. 1992,...
• Section 10738.
  The board shall make available to small employers marketing materials that accurately summarize the benefits plans and rates that are offered by the carrier through...
• Section 10739.
  Unless authorized by the board, no participating carrier shall, in an area served by the program, directly, or through an employee, agent, or contractor, provide...
• Section 10740.
  Participating carriers may contract with agents or brokers to provide marketing and servicing of health benefits coverage offered through the program. Any commissions set and...
• Section 10741.
  The board shall enforce conditions of participation in the program for small employers and enrollees which shall conform with the requirements of this chapter.(Added by...
• Section 10742.
  The board shall establish a mechanism to collect premiums from small employers, including remittance of the share of the premium paid by the enrollee.(Added by...
• Section 10743.
  The board may prohibit employers or employees who drop coverage after enrolling in the pool from reenrolling in the program for up to 12 months.(Added...
• Section 10744.
  The board shall arrange to pay contractors as specified in program contracts.(Added by Stats. 1992, Ch. 1128, Sec. 10. Effective January 1, 1993. Operative July...
• Section 10745.
  The board shall pay participating carriers their contracted rates.(Added by Stats. 1992, Ch. 1128, Sec. 10. Effective January 1, 1993. Operative July 1, 1993, by...
• Section 10746.
  Participating carriers shall offer rates to small employers or enrollees in the program that, at a minimum, are consistent with the program regulations and existing...
• Section 10747.
  The board may adjust payments made to a carrier if the board finds that the carrier has a significantly disproportionate share of high- or low-risk...
• Section 10748.
  If a small employer, employee, or dependent of a small employer is dissatisfied with any action or failure to act which has occurred in connection...
• Section 10748.5.
  No later than three years from the effective date of this article, the board shall issue a request for proposals that solicits nonprofit entities to...
• Section 10748.6.
  The board shall accept and review proposals submitted from nonprofit entities for assumption of administrative and financial responsibility of the program at any time prior...
• Section 10748.7.
  There is in the program a five-member small employer advisory panel to be appointed by the board to provide consultation to the board on program...
• Section 10749.
  There is created a Voluntary Alliance Uniting Employers Fund which shall consist of moneys collected pursuant to this article and any funds loaned by the...
• Section 10750.
  This chapter shall not apply to a health benefit plan that is subject to Chapter 8.01 (commencing with Section 10753) or Chapter 8.02 (commencing with...

Last modified: October 22, 2018