California Health and Safety Code

§ 1385.045

HSC § 1385.045 Effective Jan 1, 2021Div. 2 · Ch. 2.2 · Art. 6.2

Statute text

(a)For large group health care service plan contracts, a health care service plan shall file with the department the weighted average rate increase for all large group benefit designs during the 12-month period ending January 1 of the following calendar year. The average shall be weighted by the number of enrollees in each large group benefit design in the plan’s large group market and adjusted to the most commonly sold large group benefit design by enrollment during the 12-month period. For the purposes of this section, the large group benefit design includes, but is not limited to, benefits such as basic health care services and prescription drugs. The large group benefit design shall not include cost sharing, including, but not limited to, deductibles, copays, and coinsurance.

(b)(1) A plan shall also submit any other information required pursuant to any regulation adopted by the department to comply with this article.

(2)The department shall conduct a public meeting in every even-numbered year regarding large group rates within four months of posting the aggregate information described in this section in order to permit a public discussion of the reasons for the changes in the rates, benefits, and cost sharing in the large group market. The meeting shall be held in either the Los Angeles area or the San Francisco Bay area.

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Legislative history

Amended by Stats. 2020, Ch. 370, Sec. 195. (SB 1371) Effective January 1, 2021.