California Laws: Health and Safety Code Sections 1358.1-1358.23
- California Laws: Health and Safety Code Section 1358.1
Every health care service plan that offers any contract that primarily or solely supplements Medicare or that is advertised or represented as a supplement to...
- California Laws: Health and Safety Code Section 1358.2
The purpose of this article is to provide for the reasonable standardization of coverage and simplification of terms and benefits of Medicare supplement contracts, to...
- California Laws: Health and Safety Code Section 1358.3
(a) Except as otherwise provided in this section or in Sections 1358.7, 1358.12, 1358.13, 1358.16, and 1358.21, this article shall apply to all group and...
- California Laws: Health and Safety Code Section 1358.4
The following definitions apply for the purposes of this article: (a) "Applicant" means: (1) An individual enrollee who seeks to contract for health coverage, in...
- California Laws: Health and Safety Code Section 1358.5
(a) A contract shall not be advertised, solicited, or issued for delivery as a Medicare supplement contract unless the contract contains definitions or terms that...
- California Laws: Health and Safety Code Section 1358.6
(a) (1) Except for permitted preexisting condition clauses as described in Sections 1358.7 and 1358.8, a contract shall not be advertised, solicited, or issued for...
- California Laws: Health and Safety Code Section 1358.7
A contract shall not be advertised, solicited, or issued for delivery as a Medicare supplement contract prior to January 1, 2001, unless it meets or...
- California Laws: Health and Safety Code Section 1358.8
The following standards are applicable to all Medicare supplement contracts advertised, solicited, or issued for delivery on or after January 1, 2001. A contract shall...
- California Laws: Health and Safety Code Section 1358.9
(a) An issuer shall make available to each prospective enrollee a contract form containing only the basic (core) benefits, as defined in subdivision (b) of...
- California Laws: Health and Safety Code Section 1358.10
(a) (1) This section shall apply to Medicare Select contracts, as defined in this section. (2) A contract shall not be advertised as a Medicare...
- California Laws: Health and Safety Code Section 1358.11
(a) (1) An issuer shall not deny or condition the offering or effectiveness of any Medicare supplement contract available for sale in this state, nor...
- California Laws: Health and Safety Code Section 1358.12
(a) (1) With respect to the guaranteed issue of a Medicare supplement contract, eligible persons are those individuals described in subdivision (b) who seek to...
- California Laws: Health and Safety Code Section 1358.13
(a) An issuer shall comply with Section 1882(c)(3) of the federal Social Security Act (as enacted by Section 4081(b)(2)(C) of the federal Omnibus Budget Reconciliation...
- California Laws: Health and Safety Code Section 1358.14
(a) (1) (A) With respect to loss ratio standards, a Medicare supplement contract shall not be advertised, solicited, or issued for delivery unless the contract...
- California Laws: Health and Safety Code Section 1358.145
(a) The calculation of actual or expected loss ratios shall be pursuant to the formula in subdivision (a) of Section 1358.14, and pursuant to definitions,...
- California Laws: Health and Safety Code Section 1358.146
The following format shall be used for reporting loss ratio experience: MEDICARE SUPPLEMENT HEALTH CARE SERVICE PLAN CONTRACT EXPERIENCE EXHIBIT For the year ended December...
- California Laws: Health and Safety Code Section 1358.15
(a) An issuer shall not advertise, solicit, or issue for delivery a Medicare supplement contract to a resident of this state unless the contract has...
- California Laws: Health and Safety Code Section 1358.16
(a) An issuer or other entity may provide a commission or other compensation to a solicitor or other representative for the sale of a Medicare...
- California Laws: Health and Safety Code Section 1358.17
(a) (1) Medicare supplement contracts shall include a renewal or continuation provision. The language or specifications of the provision shall be consistent with subdivision (a)...
- California Laws: Health and Safety Code Section 1358.18
In the interest of full and fair disclosure, and to assure the availability of necessary consumer information to potential subscribers or enrollees not possessing a...
- California Laws: Health and Safety Code Section 1358.19
An issuer shall provide a copy of any Medicare supplement advertisement intended for use in this state whether through written, radio, or television medium to...
- California Laws: Health and Safety Code Section 1358.20
(a) An issuer, directly or through solicitors or other representatives, shall do each of the following: (1) Establish marketing procedures to ensure that any comparison...
- California Laws: Health and Safety Code Section 1358.21
(a) In recommending the purchase or replacement of any Medicare supplement coverage, an issuer or its representative shall make reasonable efforts to determine the appropriateness...
- California Laws: Health and Safety Code Section 1358.22
(a) On or before March 1 of each year, an issuer shall report the following information for every individual resident of this state for which...
- California Laws: Health and Safety Code Section 1358.225
(a) Every issuer shall, by June 30 of each year, file with the director a list of its Medicare supplement contracts offered or issued or...
- California Laws: Health and Safety Code Section 1358.23
(a) If a Medicare supplement contract replaces another Medicare supplement policy or certificate, or contract, the replacing issuer shall waive any time periods applicable to...
