California Insurance Code

§ 10231.3

INS § 10231.3 Effective Jan 1, 2019Div. 2 · Part 2 · Ch. 2.6 · Art. 1

Statute text

(a)For the purposes of this section, the following definitions apply:

(1)An “alternate plan of care” means a plan of care that includes a specification of long-term care services, providers, or places of care that are not specifically defined as covered services, providers, or places of care under the policy. The alternate plan of care shall be developed by a licensed health care practitioner, describe the insured’s needs, and specify the type, frequency, and providers of all formal and informal long-term care services that are required by the insured and the cost, if any. The services, providers, and places of care specified in an alternate plan of care shall include those that are specifically defined as covered services, providers, and places under the policy, as well as those that are not specifically defined as covered services, providers, and places under the policy.

(2)An “alternate-plan-of-care provision” means a provision in a policy, rider, endorsement, or amendment that allows benefits for services, providers, and places of care that are specified in an alternate plan of care.

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Legislative history

Amended by Stats. 2018, Ch. 98, Sec. 1. (AB 2180) Effective January 1, 2019.