California Health and Safety Code

§ 1374.69

HSC § 1374.69 Effective Jan 1, 2000Div. 2 · Ch. 2.2 · Art. 5.6

Statute text

At least 20 business days prior to offering a point-of-service plan contract, a health care service plan shall file a notice of material modification in accordance with Section 1352. The notice of material modification shall include, but not be limited to, provisions specifying how the health care service plan shall accomplish all of the following:

(a)Design the benefit levels and conditions of coverage for in-network coverage and services and out-of-network point-of-service utilization.

(b)Provide or arrange for the provision of adequate systems to do all of the following:

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Legislative history

Amended by Stats. 1999, Ch. 525, Sec. 120. Effective January 1, 2000. Operative July 1, 2000, or sooner, by Sec. 214 of Ch. 525.