§ 10752.4. — 10752.4. (Added by Stats. 2013, Ch. 443, Sec. 1.)

California § 10752.4.

• Jurisdiction: California
• Code INS: Insurance Code - INS
• Div. 2.: DIVISION 2. CLASSES OF INSURANCE
• Part 2.: PART 2. LIFE AND DISABILITY INSURANCE
• Ch. 8.: CHAPTER 8. Small Employer Health Insurance
• Art. 5.: ARTICLE 5. Stop-Loss Insurance

Text

A stop-loss insurance policy issued, reissued, or renewed on or after January 1, 2016, to a small employer shall not contain any of the following provisions:
(a)
An individual attachment point for a policy year that is less than forty thousand dollars ($40,000).
(b)
An aggregate attachment point for a policy year that is less than the greater of one of the following:
(1)
Five thousand dollars ($5,000) times the total number of group members.
(2)
One hundred twenty percent of expected claims.
(3)
Forty thousand dollars ($40,000).
(c)
A provision for direct coverage of an employee or dependent of an employee.

Legislative History

Added by Stats. 2013, Ch. 443, Sec. 1. (SB 161) Effective January 1, 2014.