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

California Statutes

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

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

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.

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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.

California § 10752.4. (10752.4. (Added by Stats. 2013, Ch. 443, Sec. 1.)) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.