California Health and Safety Code

§ 1363.04

HSC § 1363.04 Effective Jan 1, 2019Div. 2 · Ch. 2.2 · Art. 4

Statute text

(a)For plan years on and after January 1, 2021, or 12 months after regulations are adopted under subdivision (f), whichever occurs later, a health care service plan that issues, sells, renews, or offers a contract that covers dental services in this state, in addition to any other applicable disclosure requirements, shall utilize a uniform benefits and coverage disclosure matrix, which shall be developed by the department, in conjunction with the Department of Insurance, and in consultation with stakeholders. At a minimum, the benefits and coverage disclosure matrix shall require the health care service plan to make available all of the following information relating to covered dental services, together with the corresponding copayments or coinsurance and limitations:

(1)The annual overall plan deductible.

(2)The annual benefit limit.

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Legislative history

Added by Stats. 2018, Ch. 933, Sec. 2. (SB 1008) Effective January 1, 2019.