California Health and Safety Code

§ 1358.81

HSC § 1358.81 Effective Jul 2, 2009Div. 2 · Ch. 2.2 · Art. 3.5

Statute text

The following standards are applicable to all Medicare supplement contracts delivered or issued for delivery in this state with an effective date on or after June 1, 2010. No contract may be advertised, solicited, delivered, or issued for delivery in this state as a Medicare supplement contract unless it complies with these benefit standards. No issuer may offer any 1990 standardized Medicare supplement contract for sale with an effective date on or after June 1, 2010. Benefit standards applicable to Medicare supplement contracts issued with an effective date before June 1, 2010, remain subject to the requirements of Section 1358.8.

(a)The following general standards apply to Medicare supplement contracts and are in addition to all other requirements of this article.

(1)A Medicare supplement contract shall not exclude or limit benefits for losses incurred more than six months from the effective date of coverage because it involved a preexisting condition. The contract shall not define a preexisting condition more restrictively than a condition for which medical advice was given or treatment was recommended by, or received from, a physician within six months before the effective date of coverage.

…

Legislative history

Added by Stats. 2009, Ch. 10, Sec. 4. Effective July 2, 2009.