California Health and Safety Code

§ 1374.67

HSC § 1374.67 Effective Jan 1, 2000Div. 2 · Ch. 2.2 · Art. 5.6

Statute text

A health care service plan offering a point-of-service plan contract is subject to the following limitations:

(a)A health care service plan shall limit its offering of point-of-service plan contracts so that no more than 50 percent of the plan’s total premium revenue in any fiscal quarter is earned from point-of-service plan contracts.

(b)A health care service plan offering a point-of-service plan contract shall not expend in any fiscal-year quarter more than 20 percent of its total health care expenditures for all its enrollees for out-of-network services for point-of-service enrollees.

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Legislative history

Amended by Stats. 1999, Ch. 525, Sec. 118. Effective January 1, 2000. Operative July 1, 2000, or sooner, by Sec. 214 of Ch. 525.