Added by Stats. 2013, Ch. 443, Sec. 1. (SB 161) Effective January 1, 2014.
A stop-loss insurance policy issued, reissued, or renewed on or after January 1, 2014, and prior to 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 thirty-five thousand dollars ($35,000).
(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)Thirty-five thousand dollars ($35,000).
(c)A provision for direct coverage of an employee or dependent of an employee.
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Other sections in Article 5 - Stop-Loss Insurance