California Insurance Code

§ 10901.9

INS § 10901.9 Effective Oct 1, 2013Div. 2 · Part 2 · Ch. 9.5

Statute text

(a)Commencing January 1, 2001, premiums for health benefit plans offered, delivered, amended, or renewed by carriers shall be subject to the following requirements:

(1)The premium for new business for a federally eligible defined individual shall not exceed the following amounts:

(A)For health benefit plans identified in subdivision (d) of Section 10785 that offer services through a preferred provider arrangement, the average premium paid by a subscriber of the Major Risk Medical Insurance Program who is of the same age and resides in the same geographic area as the federally eligible defined individual. However, for federally eligible defined individuals who are between 60 to 64 years of age, inclusive, the premium shall not exceed the average premium paid by a subscriber of the Major Risk Medical Insurance Program who is 59 years of age and resides in the same geographic area as the federally eligible defined individual.

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Legislative history

Amended by Stats. 2013, Ch. 441, Sec. 20. (AB 1180) Effective October 1, 2013.