Ins. Code, § 1068 · Article 14.8. Group Enrollment from Health Care Service Plans
Ins. Code, § 1068
Text — As published in the Legislative Counsel's database, tables dated October 18, 2026 (pubinfo_2025.zip)
(a) As used in this section, the following definitions shall apply:
(1) “Health care service plan” means any plan as defined in Section 1345 of the Health and Safety Code, but this section does not apply to specialized health care service contracts.
(2) “Carrier” means a health care service plan, an insurer issuing group disability coverage which covers hospital, medical, or surgical expenses, a nonprofit hospital service plan, or any other entity responsible for either the payment of benefits for or the provision of hospital, medical, and surgical benefits under a group contract.
(3) “Insolvency” means that the Director of the Department of Managed Health Care has determined that the health care service plan is not financially able to provide health care services to its enrollees and (A) the Director of the Department of Managed Health Care has taken an action pursuant to Section 1386, 1391, or 1399 of the Health and Safety Code, or (B) an order requested by the Director of the Department of Managed Health Care or the Attorney General has been issued by the superior court under Section 1392, 1393, or 1394.1 of the Health and Safety Code.
(b) In the event of the insolvency of a health care service plan, upon order of the commissioner which shall be issued following his or her receipt of a notice issued by the Director of the Department of Managed Health Care pursuant to Section 1394.7 of the Health and Safety Code, any insurer, nonprofit hospital service plan, and any other entity, other than a health care service plan, responsible for either the payment of benefits for or the provision of hospital, medical, and surgical benefits under a group contract, that participated in the enrollment process with the insolvent health care service plan at the last regular open enrollment period of a group, shall offer enrollees of the group in the insolvent health care service plan a 30-day enrollment period commencing upon the date of insolvency. Each such carrier shall offer enrollees of the group in the insolvent health care service plan the same coverages and rates that it offered to enrollees of the group at the last regular open enrollment period of the group.
Notes and commentary — not statutory text
History
Amended by Stats. 2000, Ch. 857, Sec. 57. Effective January 1, 2001.
Source of truth
- Edition
- As published in the Legislative Counsel's database, tables dated October 18, 2026 (pubinfo_2025.zip)
- Official file
- https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=INS§ionNum=1068.
- Text hash
- sha256 cc82592f6776de3252f36151dcdd9d041a77fca4792222c2debd1ae9dee34e70
- Composed by
- compose_ca.py 2026-10-22: the Legislative Counsel's CAML content files read by a tokenizer (caml_readers.reader_a); an independent xml.etree reading (caml_readers.reader_b) agrees on every section
This section cites
Provisions in this library that the text above cites, as it prints each citation. A range cited as “ss. 61.13-61.16” links its first and last provisions.
Health and Safety Code
- Health & Saf. Code, § 1345Printed as Section 1345 of the Health and Safety Code
- Health & Saf. Code, § 1386Printed as Section 1386, 1391, or 1399 of the Health and Safety Code
- Health & Saf. Code, § 1391Printed as Section 1386, 1391, or 1399 of the Health and Safety Code
- Health & Saf. Code, § 1392Printed as Section 1392, 1393, or 1394.1 of the Health and Safety Code
- Health & Saf. Code, § 1393Printed as Section 1392, 1393, or 1394.1 of the Health and Safety Code
- Health & Saf. Code, § 1394.1Printed as Section 1392, 1393, or 1394.1 of the Health and Safety Code
- Health & Saf. Code, § 1394.7Printed as Section 1394.7 of the Health and Safety Code
- Health & Saf. Code, § 1399Printed as Section 1386, 1391, or 1399 of the Health and Safety Code
Procedural information only. Not legal advice and not a substitute for the advice of an attorney. Confirm the current text with the official publisher before relying on it.