California Insurance Code

§ 10112.9

INS § 10112.9 Effective Jan 1, 2016Div. 2 · Part 2 · Ch. 1 · Art. 1

Statute text

(a)(1) Notwithstanding Section 10273.4, an insurer, except an insurer issuing a specialized health insurance policy, issuing a policy or certificate of health insurance, as defined in subdivision (b) of Section 106, shall not market, offer, amend, issue, or renew a large group plan contract that provides a minimum value of less than 60 percent.

(2)This section shall not apply to limited wraparound coverage, that is consistent with Section 146.145(b) of Title 45 of the Code of Federal Regulations. This section also shall not apply to a policy that provides coverage of Medicare services pursuant to contracts with the United States government.

(3)This section shall not apply to a grandfathered health insurance policy that provides basic health care services, as defined in subdivision (b) of Section 1345 of the Health and Safety Code, without annual or lifetime limits for any of the basic health care services.

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Legislative history

Added by Stats. 2015, Ch. 617, Sec. 3. (AB 248) Effective January 1, 2016.