§ 10120.41
214 words·~1 min read·
/ca/insurance-code/10120-41A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
(a)For purposes of this section, the following definitions shall apply:
(1)“Dental waiting period provision” means a health insurance policy provision that limits coverage for a specified period of time following an insured’s effective date of coverage.
(2)“Health insurer” means an insurer that issues, sells, renews, or offers a policy of health insurance, as defined in subdivision
(b)of Section 106, covering dental services, including a specialized health insurance policy covering dental services, as defined in subdivision
(c)of Section 106.
(3)“Preexisting condition provision” means a policy provision that excludes or limits coverage for services, charges, or expenses incurred following an insured’s effective date of coverage for a condition for which dental services, diagnosis, care, or treatment was recommended or received preceding the effective date of coverage.
(b)On and after January 1, 2025, a health insurer shall not issue, sell, renew, or offer a policy that imposes a dental waiting period provision in a large group dental insurance policy or preexisting condition provision upon an insured for any dental insurance policy.
(c)This section does not apply to Medi-Cal dental managed care contracts authorized under Chapter 7 (commencing with Section 14000) and Chapter 8 (commencing with Section 14200) of Part 3 of Division 9 of the Welfare and Institutions Code.