§ 10753.16
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/ca/insurance-code/10753-16A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
In connection with the offering for sale of a health benefit plan subject to this chapter to small employers:
Each carrier shall make a reasonable disclosure, as part of its solicitation and sales materials, of the following:
(a)The provisions concerning the carrier’s ability to change premium rates and the factors that affect changes in premium rates. The carrier shall disclose that claims experience cannot be used.
(b)Provisions relating to the guaranteed issue of policies and contracts.
(c)A statement that no preexisting condition provisions shall be allowed.
(d)Provisions relating to the small employer’s right to apply for any health benefit plan written, issued, or administered by the carrier at the time of application for a new health benefit plan, or at the time of renewal of a health benefit plan.
(e)The availability, upon request, of a listing of all the carrier’s benefit plan designs offered, both inside and outside the Exchange, including the rates for each benefit plan design.