California Health and Safety Code

§ 1367.0061

HSC § 1367.0061 Effective Jan 1, 2022Div. 2 · Ch. 2.2 · Art. 5

Statute text

(a)For a health care service plan contract issued, amended, or renewed on or after July 1, 2022, in the individual or group market, a health care service plan shall monitor an enrollee’s accrual toward their annual deductible, if any, for covered benefits, as set forth in this section and any regulations promulgated by the department.

(1)A health care service plan shall provide an enrollee with their accrual balance toward their annual deductible for every month in which benefits were used and until the accrual balance equals the full deductible amount.

(2)A health care service plan subject to this section shall establish and maintain a system that allows an enrollee to request their most up-to-date accrual balance toward their annual deductible from their health care service plan at any time.

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Legislative history

Added by Stats. 2021, Ch. 602, Sec. 1. (SB 368) Effective January 1, 2022.