California § 12693.48. 12693.48. (Added by Stats. 1997, Ch. 623, Sec. 2.)

California Statutes

§ 12693.48. — 12693.48. (Added by Stats. 1997, Ch. 623, Sec. 2.)

California § 12693.48.

JurisdictionCalifornia

Code INSInsurance Code - INS

Div. 2.DIVISION 2. CLASSES OF INSURANCE

Part 6.2.PART 6.2. HEALTHY FAMILIES

Ch. 4.CHAPTER 4. Administration

This text of California § 12693.48. (12693.48. (Added by Stats. 1997, Ch. 623, Sec. 2.)) is published on Counsel Stack Legal Research, covering California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Cal. Insurance Code - INS Code § 12693.48. (2026).

Text

The board may adjust payments made to a participating health plan if the board finds that the plan has a significantly disproportionate share of high- or low-risk subscribers.  Prior to making this finding, the program shall obtain validated data from participating health plans. Reporting requirements shall be administratively compatible with the methods of operation of the health plans.  Any adjustments to payments shall utilize demographic and other factors which are actuarially related to risk.

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The board may adjust payments made to a participating health plan if the board finds that the plan has a significantly disproportionate share of high- or low-risk subscribers. Prior to making this finding, the program shall obtain validated data from participating health plans. Reporting requirements shall be administratively compatible with the methods of operation of the health plans. Any adjustments to payments shall utilize demographic and other factors which are actuarially related to risk.