Group Enrollment from Health Care Service Plans

Cal. INS § 1068

California Statutes

(

a) As used in this section, the following

definitions shall apply: (1) “Health care service plan” means any plan as defined in

Section of the Health and Safety Code, but this

section does not apply to specialized health care service contracts. (2) “Carrier” means a health care service plan, an insurer issuing group disability coverage which covers hospital, medical, or surgical expenses, a nonprofit hospital service plan, or any other entity responsible for either the payment of benefits for or the provision of hospital, medical, and surgical benefits under a group contract. (3) “Insolvency” means that the Director of the Department of Managed Health Care has determined that the health care service plan is not financially able to provide health care services to its enrollees and (

A) the Director of the Department of Managed Health Care has taken an action pursuant to

Section 1386, 1391, or of the Health and Safety Code, or (

B) an order requested by the Director of the Department of Managed Health Care or the Attorney General has been issued by the superior court under

Section 1392, 1393, or 1394.1 of the Health and Safety Code. (

b) In the event of the insolvency of a health care service plan, upon order of the commissioner which shall be issued following his or her receipt of a notice issued by the Director of the Department of Managed Health Care pursuant to

Section 1394.7 of the Health and Safety Code, any insurer, nonprofit hospital service plan, and any other entity, other than a health care service plan, responsible for either the payment of benefits for or the provision of hospital, medical, and surgical benefits under a group contract, that participated in the enrollment process with the insolvent health care service plan at the last regular open enrollment period of a group, shall offer enrollees of the group in the insolvent health care service plan a 30-day enrollment period commencing upon the date of insolvency.

Each such carrier shall offer enrollees of the group in the insolvent health care service plan the same coverages and rates that it offered to enrollees of the group at the last regular open enrollment period of the group.

Document details

CollectionCalifornia Statutes
CitationCal. INS § 1068
Date2001-01-01
Typestatute
Languageen
SourceCA_STAT
IdentifierINS1068.200085757

Group Enrollment from Health Care Service Plans

Cal. INS § 1068

California Statutes

Group Enrollment from Health Care Service Plans

Cal. INS § 1068

California Statutes

(

a) As used in this section, the following

definitions shall apply: (1) “Health care service plan” means any plan as defined in

Section of the Health and Safety Code, but this

section does not apply to specialized health care service contracts. (2) “Carrier” means a health care service plan, an insurer issuing group disability coverage which covers hospital, medical, or surgical expenses, a nonprofit hospital service plan, or any other entity responsible for either the payment of benefits for or the provision of hospital, medical, and surgical benefits under a group contract. (3) “Insolvency” means that the Director of the Department of Managed Health Care has determined that the health care service plan is not financially able to provide health care services to its enrollees and (

A) the Director of the Department of Managed Health Care has taken an action pursuant to

Section 1386, 1391, or of the Health and Safety Code, or (

B) an order requested by the Director of the Department of Managed Health Care or the Attorney General has been issued by the superior court under

Section 1392, 1393, or 1394.1 of the Health and Safety Code. (

b) In the event of the insolvency of a health care service plan, upon order of the commissioner which shall be issued following his or her receipt of a notice issued by the Director of the Department of Managed Health Care pursuant to

Section 1394.7 of the Health and Safety Code, any insurer, nonprofit hospital service plan, and any other entity, other than a health care service plan, responsible for either the payment of benefits for or the provision of hospital, medical, and surgical benefits under a group contract, that participated in the enrollment process with the insolvent health care service plan at the last regular open enrollment period of a group, shall offer enrollees of the group in the insolvent health care service plan a 30-day enrollment period commencing upon the date of insolvency.

Each such carrier shall offer enrollees of the group in the insolvent health care service plan the same coverages and rates that it offered to enrollees of the group at the last regular open enrollment period of the group.

Document details

CollectionCalifornia Statutes
CitationCal. INS § 1068
Date2001-01-01
Typestatute
Languageen
SourceCA_STAT
IdentifierINS1068.200085757