California Health and Safety Code

§ 1399.811

HSC § 1399.811 Effective Oct 1, 2013Div. 2 · Ch. 2.2 · Art. 11.5

Statute text

(a)(1) Premiums for contracts offered, delivered, amended, or renewed by plans on or after January 1, 2001, shall be subject to the following requirements:

(A)The premium for new business for a federally eligible defined individual shall not exceed the following amounts:

(i)For health care service plan contracts identified in subdivision (d) of Section 1366.35 that offer services through a preferred provider arrangement, the average premium paid by a subscriber of the Major Risk Medical Insurance Program who is of the same age and resides in the same geographic area as the federally eligible defined individual. However, for federally eligible defined individuals who are between the ages of 60 to 64 years, inclusive, the premium shall not exceed the average premium paid by a subscriber of the Major Risk Medical Insurance Program who is 59 years of age and resides in the same geographic area as the federally eligible defined individual.

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Legislative history

Amended by Stats. 2013, Ch. 441, Sec. 11. (AB 1180) Effective October 1, 2013.