California Code
PART 2 - LIFE AND DISABILITY INSURANCE
CHAPTER 8 - Small Employer Health Insurance

ARTICLE 1 - Definitions

Section 10700. - 10700. As used in this chapter: (a) “Agent or broker”...

Section 10701. - 10701. (a) For purposes of this chapter, “health benefit plan”...

ARTICLE 2 - Small Employer Carrier Requirements

Section 10702. - 10702. All carriers writing, issuing, or administering health benefit plans...

Section 10702.1. - 10702.1. Any person or entity subject to the requirements of...

Section 10703. - 10703. The commissioner shall have the authority to determine whether...

Section 10704. - 10704. The commissioner may issue regulations that are necessary to...

Section 10705. - 10705. Upon the effective date of this act: (a) No...

Section 10705.1. - 10705.1. (a) Between July 26, 1993, and October 24, 1993,...

Section 10706. - 10706. Every carrier shall file with the commissioner the reasonable...

Section 10706.5. - 10706.5. (a) After a small employer submits a completed application,...

Section 10707. - 10707. Except in the case of a late enrollee, or...

Section 10708. - 10708. (a) (1) Preexisting condition provisions of health benefit plans...

Section 10709. - 10709. (a) No health benefit plan may exclude late enrollees...

Section 10711. - 10711. No carrier shall be required by the provisions of...

Section 10712. - 10712. (a) A carrier shall not be required to offer...

Section 10713. - 10713. All health benefit plans written, issued, or administered by...

Section 10714. - 10714. Premiums for benefit plan designs written, issued, or administered...

Section 10715. - 10715. Carriers shall apply standard employee risk rates consistently with...

Section 10716. - 10716. In connection with the offering for sale of any...

Section 10717. - 10717. (a) No carrier shall provide or renew coverage subject...

Section 10718. - 10718. (a) In addition to any other remedy permitted by...

Section 10718.5. - 10718.5. (a) (1) In addition to any other remedy permitted...

Section 10718.55. - 10718.55. (a) Carriers may enter into contractual agreements with qualified...

Section 10718.7. - 10718.7. Notwithstanding any other provision of law, no provision of...

ARTICLE 3 - Voluntary Reinsurance Mechanism

Section 10719. - 10719. The California Small Group Reinsurance Fund is hereby authorized...

Section 10719.1. - 10719.1. Any person or entity subject to the requirements of...

Section 10720. - 10720. (a) The fund shall be governed by a board...

Section 10720.1. - 10720.1. The fund shall have the general powers and authority...

Section 10721. - 10721. The fund shall provide for the financing of its...

Section 10722. - 10722. If assessments exceed actual losses and administrative expenses of...

Section 10723. - 10723. Any unsatisfied net liability or outstanding assessment owed by...

Section 10724. - 10724. Carriers choosing to participate shall comply with all requirements...

Section 10725. - 10725. The fund’s board of directors shall establish the rules,...

Section 10726. - 10726. Nothing in this article relieves members of participating in...

Section 10727. - 10727. The fund shall be exempt from any and all...

Section 10728. - 10728. For purposes of agreements entered into pursuant to this...

Section 10729. - 10729. The fund shall establish rules, conditions, and procedures relating...

ARTICLE 4 - Purchasing Pool for Small Employers

Section 10730. - 10730. (a) The Voluntary Alliance Uniting Employers Purchasing Program is...

Section 10731. - 10731. The board may do any of the following: (a)...

Section 10731.2. - 10731.2. Any person or entity subject to the requirements of...

Section 10732. - 10732. The board shall establish geographic areas within which participating...

Section 10733. - 10733. On or after the effective date of this chapter,...

Section 10733.5. - 10733.5. Notwithstanding any other provision of law, an employer purchasing...

Section 10734. - 10734. (a) Notwithstanding any other provision of law, the board...

Section 10735. - 10735. The board shall contract with a broad range of...

Section 10737. - 10737. The board shall use appropriate and efficient means to...

Section 10738. - 10738. The board shall make available to small employers marketing...

Section 10739. - 10739. Unless authorized by the board, no participating carrier shall,...

Section 10740. - 10740. Participating carriers may contract with agents or brokers to...

Section 10741. - 10741. The board shall enforce conditions of participation in the...

Section 10742. - 10742. The board shall establish a mechanism to collect premiums...

Section 10743. - 10743. The board may prohibit employers or employees who drop...

Section 10744. - 10744. The board shall arrange to pay contractors as specified...

Section 10745. - 10745. The board shall pay participating carriers their contracted rates....

Section 10746. - 10746. Participating carriers shall offer rates to small employers or...

Section 10747. - 10747. The board may adjust payments made to a carrier...

Section 10748. - 10748. If a small employer, employee, or dependent of a...

Section 10748.5. - 10748.5. No later than three years from the effective date...

Section 10748.6. - 10748.6. The board shall accept and review proposals submitted from...

Section 10748.7. - 10748.7. There is in the program a five-member small employer...

Section 10749. - 10749. There is created a Voluntary Alliance Uniting Employers Fund...

Section 10750. - 10750. This chapter shall not apply to a health benefit...

ARTICLE 5 - Stop-Loss Insurance

Section 10752. - 10752. As used in this article, the following definitions shall...

Section 10752.1. - 10752.1. A stop-loss insurer shall not exclude any employee or...

Section 10752.2. - 10752.2. A stop-loss insurer shall renew, at the option of...

Section 10752.3. - 10752.3. A stop-loss insurance policy issued, reissued, or renewed on...

Section 10752.4. - 10752.4. A stop-loss insurance policy issued, reissued, or renewed on...

Section 10752.43. - 10752.43. Sections 10752.3 and 10752.4 do not apply to a...

Section 10752.46. - 10752.46. On April 1, 2014, and on April 1 annually...

Section 10752.5. - 10752.5. The commissioner may adopt regulations as may be necessary...

Section 10752.6. - 10752.6. A stop-loss insurer that violates the provisions of this...

Section 10752.7. - 10752.7. Nothing in this article shall affect the ongoing operations...

Section 10752.8. - 10752.8. The provisions of this article are severable. If any...