California Insurance Code

§ 10753

INS § 10753 Effective Jan 1, 2019Div. 2 · Part 2 · Ch. 8.01 · Art. 1

Statute text

(a)“Agent or broker” means a person or entity licensed under Chapter 5 (commencing with Section 1621) of Part 2 of Division 1.

(b)“Benefit plan design” means a specific health coverage product issued by a carrier to small employers, to trustees of associations that include small employers, or to individuals if the coverage is offered through employment or sponsored by an employer. It includes services covered and the levels of copayment and deductibles, and it may include the professional providers who are to provide those services and the sites where those services are to be provided. A benefit plan design may also be an integrated system for the financing and delivery of quality health care services which has significant incentives for the covered individuals to use the system.

(c)“Carrier” means a health insurer or any other entity that writes, issues, or administers health benefit plans that cover the employees of small employers, regardless of the situs of the contract or master policyholder.

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Legislative history

Amended by Stats. 2018, Ch. 700, Sec. 8. (SB 1375) Effective January 1, 2019.