§ 10752.4
102 words·~1 min read·
/ca/insurance-code/10752-4A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
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.