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Cal. Ins. Code §§ 10112.1 through 10112.4, 10112.7 through 10112.95, 10113.8 through 10113.95, 10123.84 through 10123.85, 10123.88, 10123.135: Life and Disability Insurance — The Contract – California
Status: EnactedYear Enacted: 1999
Year Amended: 2018
File: Download
Every health insurer that issues, sells, renews, or offers health insurance policies for health care coverage in this state, including a grandfathered health plan, but not including specialized health insurance policies, shall provide an annual rebate to each insured under such coverage, on a pro rata basis, if the ratio of the amount of premium revenue expended by the health insurer on the costs for reimbursement for clinical services provided to insureds under such coverage and for activities that improve health care quality to the total amount of premium revenue.
Key Issues:
Affordable Care Act (ACA)
Medicaid Reform or Medicaid Waiver
Provider Payment
Benefit Design
PHARMACEUTICALS
Health Savings Account (HSA) or Health Reimbursement Account (HRA)
PRICE AND QUALITY TRANSPARENCY
Network Adequacy
ACA Marketplace
Delivery Reform
HEALTHCARE SYSTEM REFORM
Rate Regulation
Cost-Sharing or Out-of-Pocket Costs
Prior Authorization
HEALTHCARE COSTS
Drug Formulary
Cost Containment
HEALTHCARE MARKETS
Provider Network
Telehealth or Telemedicine
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Associated Litigation:
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