California Insurance Code PART 6.1 - HEALTH DISABILITY INSURANCE CONVERSION

• Section 12670.
  It is the intent of the Legislature to ensure that persons covered by a group policy, who become ineligible for that coverage have access to...
• Section 12671.
  As used in this part, the following terms have the following meanings:(a) “Group policy” means a group health insurance policy providing medical, hospital, surgical, major medical,...
• Section 12672.
  (a) Any group policy issued, amended, or renewed in this state on or after January 1, 1983, which provides insurance for employees or members on an...
• Section 12673.
  Conversion coverage shall be required to be made available to an employee or member unless such coverage under the group policy terminates for one or...
• Section 12674.
  A converted policy shall be issued effective on the day following the termination of coverage under the group policy if written application and the first...
• Section 12675.
  The premium for the conversion coverage shall be determined in accordance with the insurer’s rates applicable to the age and class of risk of each...
• Section 12676.
  The conversion coverage shall cover the employee or member and his or her dependents who were covered by the group policy on the date of...
• Section 12677.
  The insurer shall not be required to issue a converted policy covering any person if such person is entitled to be covered by Medicare.(Added by...
• Section 12678.
  The insurer shall not be required to issue a converted policy covering any person if any of the following exists:(a) The person is covered for similar...
• Section 12679.
  A converted policy may provide that the insurer may at any time request information from any person covered thereunder as to whether he or she...
• Section 12680.
  If conversion coverage is issued and benefits are also provided to a person under Section 12678, the insurer may limit the conversion benefits provided or...
• Section 12681.
  An insurer shall not be required to issue a converted policy providing benefits in excess of those provided under the group policy from which conversion...
• Section 12682.
  The converted policy shall not exclude, as a preexisting condition, any condition covered by the group policy. The converted policy may provide for a reduction...
• Section 12682.1.
  This section does not apply to a policy that primarily or solely supplements Medicare. The commissioner may adopt rules consistent with federal law to govern...
• Section 12682.2.
  (a) (1) At least 60 days prior to the policy renewal date, an insurer that does not otherwise issue individual health insurance policies shall issue the notice...
• Section 12683.
  Subject to the provisions and conditions of this part, if the group policy from which conversion is made covers the employee or member for basic...
• Section 12684.
  Subject to the provisions and conditions of this part, if the group policy from which conversion is made provides the employee or member with major...
• Section 12685.
  The insurer may, at its option, offer alternative plans for group health conversion in addition to those required by this part.(Added by Stats. 1981, Ch....
• Section 12686.
  (a) In the event coverage would be continued under a group policy on an employee or member following his or her retirement prior to the time...
• Section 12687.
  Notwithstanding any other provision in this part, whenever an employee or member chooses among two or more conversion policies, such choice shall be made within...
• Section 12688.
  Notwithstanding any provision in this part to the contrary, a hospital service corporation or any insurer which customarily offers individual conversion coverage on a service...
• Section 12689.
  A notification of the conversion coverage shall be included in each certificate of coverage or other legally required document explaining coverage; provided, however, that it...
• Section 12690.
  Nothing in this part shall prohibit insurers from establishing one or more pools from which the converted policies provided for on this part may be...
• Section 12691.
  A converted policy which is delivered in a jurisdiction other than this state may be in a form which could be delivered in such jurisdiction...
• Section 12692.
  On and after January 1, 1985, every insurer and nonprofit hospital service plan issuing group disability insurance which covers hospital, medical, or surgical expenses shall...
• Section 12692.5.
  Notwithstanding any other provision of this part, Sections 12672, 12673, 12674, 12675, 12676, 12677, 12678, 12679, 12680, 12681, 12682, 12683, 12684, 12685, 12686, 12687, 12688,...

Last modified: October 22, 2018