§ 1375.3. — 1375.3. (Added by Stats. 2002, Ch. 928, Sec. 2.)

California § 1375.3.

• Jurisdiction: California
• Code HSC: Health and Safety Code - HSC
• Div. 2.: DIVISION 2. LICENSING PROVISIONS
• Ch. 2.2.: CHAPTER 2.2. Health Care Service Plans
• Art. 6.: ARTICLE 6. Operation and Renewal Requirements and Procedures

Text

(a)
A health care service plan shall meet and confer with the director and his or her designated representatives at least 10 business days prior to filing a petition commencing a case for bankruptcy under Title 11 of the United States Code, except under extraordinary circumstances. If extraordinary circumstances preclude a meet and confer with the director within the 10-day time period prior to the filing of a petition for bankruptcy, the plan shall meet and confer with the department at least 24 hours prior to filing the petition. A plan shall notify the department concurrently upon filing the petition. These meetings shall be deemed confidential.
(b)
At the director’s request, a plan shall provide within the time period specified by the department, information to assist in ensuring continuity of care and uninterrupted access to health care services for plan subscribers and enrollees. The information may include, but is not limited to, the following:
(1)
A list of all providers with which the plan contracts and material information regarding the contracts including, but not limited to, the grounds for termination of the contract and the term remaining on the contract.
(2)
A list of employer groups who subscribe with the plan.
(3)
A list of the enrollees of the plan.
(4)
A list of enrollees undergoing current treatment and a description of the authorized treatment for the enrollee.
(5)
A list of all brokers and agents involved in the negotiation of subscriber contracts.
(6)
A list of all enrollees who contract as individual subscribers for coverage by the plan.
(c)
Notwithstanding subdivision (a), nothing in this section shall preclude the director from exercising powers and duties authorized under this chapter.

Legislative History

Added by Stats. 2002, Ch. 928, Sec. 2. Effective January 1, 2003.