California Insurance Code

§ 12693.35

INS § 12693.35 Effective Jan 1, 2016Div. 2 · Part 6.2 · Ch. 4

Statute text

Participating health, dental, and vision plans shall have, but need not be limited to, all of the following operating characteristics satisfactory to the board in consultation with the plan’s licensing or regulatory oversight agency:

(a)Strong financial condition, including the ability to assume the risk of providing and paying for covered services. A participating plan may utilize reinsurance, provider risk sharing, and other appropriate mechanisms to share a portion of the risk.

(b)Adequate administrative management.

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Legislative history

Amended by Stats. 2015, Ch. 190, Sec. 67. (AB 1517) Effective January 1, 2016.