California Health and Safety Code

§ 1373.622

HSC § 1373.622 Effective Jun 24, 2015Div. 2 · Ch. 2.2 · Art. 5

Statute text

(a)(1) After the termination of the pilot program under Section 1373.62, a health care service plan shall continue to provide coverage under the same terms and conditions specified in Section 1376.62 as it existed on January 1, 2007, including the terms of the standard benefit plan and the subscriber payment amount, to each individual who was terminated from the program pursuant to subdivision (f) of Section 12725 of the Insurance Code during the term of the pilot program and who enrolled or applied to enroll in a standard benefit plan within 63 days of termination. The State Department of Health Care Services shall continue to pay the amount described in Section 1376.62 for each of those individuals. A health care service plan shall not be required to offer the coverage described in Section 1373.62 after the termination of the pilot program to individuals not already enrolled in the program.

(2)Notwithstanding paragraph (1) of this subdivision or Section 1373.62 as it existed on January 1, 2007, the following rules shall apply:

(A)(i) A health care service plan shall not be obligated to provide coverage to any individual pursuant to this section on or after January 1, 2014.

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Legislative history

Amended by Stats. 2015, Ch. 18, Sec. 8. (SB 75) Effective June 24, 2015.