California Health and Safety Code

§ 1357.09

HSC § 1357.09 Effective Jan 1, 2007Div. 2 · Ch. 2.2 · Art. 3.1

Statute text

No plan shall be required to offer a health care service plan contract or accept applications for the contract pursuant to this article in the case of any of the following:

(a)To a small employer, if the small employer is not physically located in a plan’s approved service areas, or if an eligible employee and dependents who are to be covered by the plan contract do not work or reside within a plan’s approved service areas.

(b)(1) Within a specific service area or portion of a service area, if a plan reasonably anticipates and demonstrates to the satisfaction of the director that it will not have sufficient health care delivery resources to assure that health care services will be available and accessible to the eligible employee and dependents of the employee because of its obligations to existing enrollees.

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Legislative history

Amended by Stats. 2006, Ch. 538, Sec. 353. Effective January 1, 2007.