Nongrandfathered Small Employer Plans
Cal. HSC § 1357.515
California Statutes
(
a) At least business days prior to renewing or amending a plan contract subject to this
article which will be in force on the operative date of this article, a plan shall file a notice of material modification with the director in accordance with the provisions of
Section 1352. The notice of material modification shall include a statement certifying that the plan is in compliance with
Section 1357.512. Any action by the director, as permitted under
Section 1352, to disapprove, suspend, or postpone the plan’s use of a plan contract shall be in writing, specifying the reasons that the plan contract does not comply with the requirements of this chapter. (
b) At least business days prior to offering a plan contract subject to this article, all plans shall file a notice of material modification with the director in accordance with the provisions of
Section 1352. The notice of material modification shall include a statement certifying that the plan is in compliance with
Section 1357.512. Plans that will be offering to a small employer plan contracts approved by the director prior to the effective date of this
article shall file a notice of material modification in accordance with this subdivision. Any action by the director, as permitted under
Section 1352, to disapprove, suspend, or postpone the plan’s use of a plan contract shall be in writing, specifying the reasons that the plan contract does not comply with the requirements of this chapter. (
c) Each plan shall maintain at its principal place of business all of the information required to be filed with the director pursuant to this section. (
d) Nothing in this
section shall be construed to limit the director’s authority to enforce the rating practices set forth in this article.