California Insurance Code

§ 10181.10

INS § 10181.10 Effective Jan 1, 2015Div. 2 · Part 2 · Ch. 1 · Art. 4.5

Statute text

(a)(1) A health insurer shall annually provide claims data at no charge to a large group purchaser if the large group purchaser requests the information and otherwise meets the requirements of this section.

(2)The health insurer shall provide claims data that a qualified statistician has determined are deidentified so that the claims data do not identify or do not provide a reasonable basis from which to identify an individual. If the statistician is unable to determine that the data has been deidentified, then the data that cannot be deidentified shall not be provided by the health insurer to the large group purchaser. A health insurer may provide the claims data in an aggregated form as necessary to comply with subdivisions (e) and (f).

(b)(1) As an alternative to providing claims data required pursuant to subdivision (a), the insurer shall provide, at no charge to a large group purchaser, all of the following:

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Legislative history

Added by Stats. 2014, Ch. 577, Sec. 6. (SB 1182) Effective January 1, 2015.