California Insurance Code

§ 10603.04

INS § 10603.04 Effective Jan 1, 2019Div. 2 · Part 2 · Ch. 7

Statute text

(a)For policy years on and after January 1, 2021, or 12 months after regulations are adopted under subdivision (f), whichever occurs later, a health insurer that issues, sells, renews, or offers a policy that covers dental services in this state, in addition to any other applicable disclosure requirements, shall use a uniform benefits and coverage disclosure matrix, which shall be developed by the department, in conjunction with the Department of Managed Health Care, and in consultation with stakeholders. At a minimum, the benefits and coverage disclosure matrix shall require the health insurer to make available all of the following relating to covered dental services, together with the corresponding copayments or coinsurance and limitations:

(1)The annual overall policy deductible.

(2)The annual benefit limit.

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Legislative history

Added by Stats. 2018, Ch. 933, Sec. 5. (SB 1008) Effective January 1, 2019.