California Code
PART 3.3 - Health Care Coverage Assistance
CHAPTER 4 - California Major Risk Medical Insurance Program

ARTICLE 1 - General

Section 15870. - 15870. For the purposes of this chapter, the following terms...

Section 15872. - 15872. The California Major Risk Medical Insurance Program is hereby...

Section 15872.5. - 15872.5. This chapter shall become operative on July 1, 2014....

ARTICLE 2 - Powers and Duties

Section 15873. - 15873. The department shall have the authority: (a) To establish...

Section 15876. - 15876. Plan rates for major risk medical benefits approved for...

ARTICLE 3 - Policies Issued by the Department

Section 15878. - 15878. The department may place a lien on compensation or...

Section 15879. - 15879. Except as provided in Article 3.5 (commencing with Section...

Section 15880. - 15880. Benefits under this article or Article 4 (commencing with...

ARTICLE 4 - Participating Health Plans

Section 15881. - 15881. The department shall provide coverage through participating health plans...

Section 15882. - 15882. The department may provide or purchase stop-loss coverage under...

Section 15883. - 15883. The department shall withdraw its approval of any participating...

ARTICLE 5 - Subscriber Eligibility and Enrollment

Section 15884. - 15884. (a) Each resident of the state meeting the eligibility...

Section 15884.5. - 15884.5. (a) It shall constitute unfair competition for purposes of...

Section 15885. - 15885. The department may permit the exclusion of coverage or...

Section 15885.5. - 15885.5. If more than one participating health plan is offered,...

Section 15886. - 15886. After the applicant notifies the department in writing of...

Section 15886.5. - 15886.5. A subscriber may request a change in coverage based...

Section 15887. - 15887. Health coverage secured through the program shall permit a...

Section 15887.5. - 15887.5. A transfer of enrollment from one participating health plan...

Section 15888. - 15888. If a subscriber is dissatisfied with any action or...

Section 15888.5. - 15888.5. Subscribers and their dependents who become eligible for Medicare...

ARTICLE 6 - Plan Rates and Compensation from the Fund

Section 15890. - 15890. Upon enrollment as a subscriber in the program, the...

Section 15890.5. - 15890.5. Each health plan contracting with the department pursuant to...

Section 15891. - 15891. (a) The department shall establish program contribution amounts for...

Section 15891.5. - 15891.5. A participating health plan may charge subscriber contributions under...

ARTICLE 7 - Major Risk Medical Insurance Fund

Section 15893. - 15893. (a) There is hereby continued in existence in the...

Section 15894. - 15894. (a) Except as provided in Section 15894.5, the department...

Section 15894.5. - 15894.5. (a) From money appropriated by the Legislature to the...

Section 15895. - 15895. Any moneys remaining in the fund at the end...