California Code
DIVISION 2 - LICENSING PROVISIONS
CHAPTER 2.2 - Health Care Service Plans

Section 1389.5. - 1389.5. (a) This section applies to a health care service...

Section 1389.6. - 1389.6. Compensation of a person or entity employed by, or...

Section 1389.7. - 1389.7. (a) Every health care service plan that offers, issues,...

Section 1389.7. - 1389.7. (a) Every health care service plan that offers, issues,...

Section 1389.8. - 1389.8. (a) Notwithstanding any other provision of law, an agent,...

ARTICLE 8 - Other Enforcement Procedures

Section 1390. - 1390. (a) Any person who willfully violates any provision of...

Section 1391. - 1391. (a) (1) The director may issue an order directing...

Section 1391.5. - 1391.5. (a) If, after examination or investigation, the director has...

Section 1392. - 1392. (a) (1) Whenever it appears to the director that...

Section 1392.5. - 1392.5. (a) This section applies to every action brought in...

Section 1393. - 1393. (a) The superior court of the county in which...

Section 1393.5. - 1393.5. (a) A person who violates Section 1349, or any...

Section 1393.6. - 1393.6. For violations of Article 3.1 (commencing with Section 1357),...

Section 1394. - 1394. The civil, criminal, and administrative remedies available to the...

Section 1394.1. - 1394.1. Notwithstanding any other provision of law, the director may...

Section 1394.2. - 1394.2. Notwithstanding any other provision of law, in any involuntary...

Section 1394.3. - 1394.3. Except as provided for in Section 1394.1, and 1394.2,...

ARTICLE 8.5 - Service of Process

Section 1394.5. - 1394.5. When any person, including any nonresident of this state,...

Section 1394.7. - 1394.7. (a) As used in this section the following definitions...

Section 1394.8. - 1394.8. (a) As used in this section: (1) “Carrier” means...

ARTICLE 9 - Miscellaneous

Section 1395. - 1395. (a) Notwithstanding Article 6 (commencing with Section 650) of...

Section 1395.5. - 1395.5. (a) Except as provided in subdivisions (b) and (c),...

Section 1395.6. - 1395.6. (a) In order to prevent the improper selling, leasing,...

Section 1395.7. - 1395.7. (a) A staff-model dental health care service plan that...

Section 1396. - 1396. It is unlawful for any person willfully to make...

Section 1396.5. - 1396.5. A nonprofit hospital corporation which substantially indemnified subscribers and...

Section 1397. - 1397. (a) Whenever reference is made in this chapter to...

Section 1397.5. - 1397.5. (a) The director shall make and file annually with...

Section 1397.6. - 1397.6. The director may contract with necessary medical consultants to...

Section 1398.5. - 1398.5. All references to the Knox-Mills Health Plan Act (Article...

Section 1399. - 1399. (a) Surrender of a license as a health plan...

Section 1399.1. - 1399.1. (a) All orders and other actions taken by the...

Section 1399.3. - 1399.3. (a) A material change made by a health care...

Section 1399.5. - 1399.5. It is the intent of the Legislature that the...

ARTICLE 9.5 - Claims Reviewers

Section 1399.55. - 1399.55. Health care service plans shall, upon rejecting a claim...

Section 1399.56. - 1399.56. Compensation of a person retained by a health care...

Section 1399.57. - 1399.57. This article does not apply to services or benefits...

ARTICLE 10 - Discontinuance and Replacement of Group Health Care Service Plan Contracts

Section 1399.60. - 1399.60. The provisions of this article shall apply to all...

Section 1399.61. - 1399.61. In this article, unless the context otherwise requires: (a)...

Section 1399.62. - 1399.62. (a) Every contract containing hospital, medical, or surgical expense...

Section 1399.63. - 1399.63. (a) Any carrier providing replacement coverage with respect to...

Section 1399.64. - 1399.64. This article shall apply to all contracts issued, delivered,...

ARTICLE 10.2 - Mergers and Acquisitions of Health Care Service Plans

Section 1399.65. - 1399.65. (a) (1) A health care service plan that intends...

Section 1399.66. - 1399.66. (a) Notwithstanding subdivision (d) of Section 1352, a health...

ARTICLE 11 - Nonprofit Plans

Section 1399.70. - 1399.70. (a) In addition to the information required by subdivision...

Section 1399.71. - 1399.71. (a) Any nonprofit health care service plan that intends...

Section 1399.72. - 1399.72. (a) Any health care service plan that intends to...

Section 1399.73. - 1399.73. (a) An application for a conversion or restructuring shall...

Section 1399.74. - 1399.74. (a) By July 1, 1996, the director shall adopt...

Section 1399.75. - 1399.75. (a) This article shall apply to the restructuring or...

Section 1399.76. - 1399.76. This article shall not apply to a nonprofit health...

ARTICLE 11.1 - Consumer Operated and Oriented Plans

Section 1399.80. - 1399.80. For purposes of this article, the following definitions shall...

Section 1399.81. - 1399.81. The director shall have the authority to issue a...

Section 1399.83. - 1399.83. (a) A domestic or foreign CO-OP licensed as a...

Section 1399.84. - 1399.84. The director may request any documentation relating to a...

Section 1399.86. - 1399.86. (a) A CO-OP shall be subject at all times...

Section 1399.88. - 1399.88. In addition to any applicable requirements in this chapter...

ARTICLE 11.5 - Individual Access to Contracts for Health Care Services

Section 1399.801. - 1399.801. As used in this article: (a) “Creditable coverage” means:...

Section 1399.802. - 1399.802. (a) Every health care service plan offering plan contracts...

Section 1399.803. - 1399.803. Nothing in this article shall be construed to preclude...

Section 1399.804. - 1399.804. (a) Commencing January 1, 2001, a plan shall fairly...

Section 1399.805. - 1399.805. (a) (1) After the federally eligible defined individual submits...

Section 1399.806. - 1399.806. A plan may not exclude any federally eligible defined...

Section 1399.809. - 1399.809. The director may require a plan to discontinue the...

Section 1399.810. - 1399.810. All health care service plan contracts offered to a...

Section 1399.811. - 1399.811. (a) (1) Premiums for contracts offered, delivered, amended, or...

Section 1399.812. - 1399.812. Plans shall apply premiums consistently with respect to all...

Section 1399.813. - 1399.813. In connection with the offering for sale of any...

Section 1399.814. - 1399.814. Nothing in this article shall be construed to require...

Section 1399.815. - 1399.815. (a) At least 20 business days prior to renewing...

Section 1399.817. - 1399.817. The director may issue regulations that are necessary to...

Section 1399.818. - 1399.818. This article shall apply to health care service plan...

ARTICLE 11.7 - Child Access to Health Care Coverage

Section 1399.825. - 1399.825. As used in this article: (a) “Child” means any...

Section 1399.826. - 1399.826. (a) (1) During each open enrollment period, every health...

Section 1399.827. - 1399.827. This article shall not apply to health care service...

Section 1399.828. - 1399.828. (a) Upon the effective date of this article, a...

Section 1399.829. - 1399.829. (a) A health care service plan may use the...

Section 1399.832. - 1399.832. No health care service plan shall be required to...

Section 1399.833. - 1399.833. The director may require a health care service plan...

Section 1399.834. - 1399.834. (a) All health care service plan contracts offered to...

Section 1399.835. - 1399.835. On or before July 1, 2011, the director may...

Section 1399.836. - 1399.836. (a) This article shall become inoperative on January 1,...

ARTICLE 11.8 - Individual Access to Health Care Coverage

Section 1399.845. - 1399.845. For purposes of this article, the following definitions shall...

Section 1399.846. - 1399.846. For the purposes of determining eligibility for small employer...

Section 1399.847. - 1399.847. Except as provided in Sections 1399.858 and 1399.861, the...

Section 1399.848. - 1399.848. (a) Notwithstanding paragraph (1) of subdivision (c) of Section...

Section 1399.849. - 1399.849. (a) (1) On and after October 1, 2013, a...

Section 1399.851. - 1399.851. (a) Commencing October 1, 2013, a health care service...

Section 1399.853. - 1399.853. (a) An individual health benefit plan shall be renewable...

Section 1399.855. - 1399.855. (a) With respect to individual health benefit plans for...

Section 1399.857. - 1399.857. (a) A health care service plan shall not be...

Section 1399.858. - 1399.858. The director may require a plan to discontinue the...

Section 1399.859. - 1399.859. (a) A health care service plan that receives an...

Section 1399.861. - 1399.861. (a) On or before October 1, 2013, and annually...

Section 1399.862. - 1399.862. Except as otherwise provided in this article, this article...

Section 1399.863. - 1399.863. (a) The department may adopt emergency regulations implementing this...

Section 1399.864. - 1399.864. (a) For purposes of this article, a bridge plan...

ARTICLE 11.9 - Health Equity and Quality

Section 1399.870. - 1399.870. (a) (1) On or before March 1, 2022, the...

Section 1399.871. - 1399.871. (a) (1) The department shall establish standard measures and...

Section 1399.872. - 1399.872. (a) Upon the department’s establishment or updating of standard...

Section 1399.873. - 1399.873. (a) Except as provided by any other law, the...

Section 1399.874. - 1399.874. (a) This article does not restrict the director’s enforcement...

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