California Insurance Code CHAPTER 9.5 - Individual Access to Contracts for Health Care Services

• Section 10900.
  As used in this chapter:(a) “Benefit plan design” means a specific health coverage policy issued by a carrier to individuals, to trustees of associations that cover...
• Section 10901.
  Every carrier offering health benefit plans to individuals shall comply with the provisions of this chapter and the rules adopted thereunder.(Added by Stats. 2000, Ch....
• Section 10901.1.
  Nothing in this chapter shall be construed to preclude the application of this chapter to either of the following: (a) an association, trust, or other...
• Section 10901.2.
  (a) Commencing January 1, 2001, a carrier shall fairly and affirmatively offer, market, and sell the health benefit plan designs described in subdivision (d) of Section...
• Section 10901.3.
  (a) (1) After the federally eligible defined individual submits a completed application form for a health benefit plan, the carrier shall, within 30 days, notify the individual...
• Section 10901.4.
  A carrier may not exclude any federally eligible defined individual, or his or her dependents, who would otherwise be entitled to health care services, on...
• Section 10901.7.
  (a) The commissioner may require a carrier to discontinue the offering of health benefit plans or the acceptance of applications from any individual upon a determination...
• Section 10901.8.
  All health benefit plans offered to a federally eligible defined individual shall be renewable with respect to the individual and dependents at the option of...
• Section 10901.9.
  (a) Commencing January 1, 2001, premiums for health benefit plans offered, delivered, amended, or renewed by carriers shall be subject to the following requirements:(1) The premium for...
• Section 10902.
  Carriers shall apply premiums consistently with respect to all federally eligible defined individuals who apply for coverage.(Added by Stats. 2000, Ch. 810, Sec. 5. Effective...
• Section 10902.1.
  In connection with the offering for sale of any health benefit plan designed to an individual, each carrier shall make a reasonable disclosure, as part...
• Section 10902.2.
  Nothing in this chapter shall be construed to require a health benefit plan to offer a contract to an individual if the carrier does not...
• Section 10902.3.
  (a) At least 20 business days prior to renewing or amending a health benefit plan contract subject to this chapter, or at least 20 business days...
• Section 10902.5.
  The commissioner may issue regulations that are necessary to carry out the purposes of this chapter. Any rules and regulations adopted pursuant to this chapter...

Last modified: October 22, 2018