California Health and Safety Code

§ 1357.06

HSC § 1357.06 Effective Jan 1, 2011Div. 2 · Ch. 2.2 · Art. 3.1

Statute text

(a)(1) Preexisting condition provisions of a plan contract shall not exclude coverage for a period beyond six months following the individual’s effective date of coverage and may only relate to conditions for which medical advice, diagnosis, care, or treatment, including prescription drugs, was recommended or received from a licensed health practitioner during the six months immediately preceding the effective date of coverage.

(2)Notwithstanding paragraph (1), a plan contract offered to a small employer shall not impose any preexisting condition provision upon any child under 19 years of age.

(b)A plan that does not utilize a preexisting condition provision may impose a waiting or affiliation period, not to exceed 60 days, before the coverage issued subject to this article shall become effective. During the waiting or affiliation period no premiums shall be charged to the enrollee or the subscriber.

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Legislative history

Amended by Stats. 2010, Ch. 656, Sec. 1. (AB 2244) Effective January 1, 2011.