Ins. Code, § 1068.1 · Article 14.8. Group Enrollment from Health Care Service Plans
Ins. Code, § 1068.1
Text — As published in the Legislative Counsel's database, tables dated October 18, 2026 (pubinfo_2025.zip)
(a) As used in this section:
(1) “Carrier” means a specialized health care service plan, and any of the following entities which offer coverage comparable to the coverages offered by a specialized health care service plan: an insurer issuing group disability coverage; a nonprofit hospital service plan; or other entity responsible for either the payment of benefits for or the provision of services under a group contract.
(2) “Insolvency” means that the Director of the Department of Managed Health Care has determined that the specialized health care service plan is not financially able to provide specialized 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 commissioner or the Attorney General has been issued by the superior court under Section 1392, 1393, or 1394.1 of the Health and Safety Code.
(3) “Specialized health care service plan” means any plan authorized to issue only specialized health care service plan contracts as defined in Section 1345 of the Health and Safety Code.
(b) In the event of the insolvency of a specialized 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 1394.8 of the Health and Safety Code, all carriers that participated in the enrollment process with the insolvent specialized health care service plan at a group’s last regular open enrollment period for the same type of specialized health care service benefits shall offer the group’s enrollees in the insolvent specialized health care service plan a 30-day enrollment period commencing upon the date of insolvency. Each such carrier shall offer enrollees of the insolvent specialized health care service plan the same specialized coverage and rates that it had offered to the enrollees of the group at its last regular open enrollment period.
Notes and commentary — not statutory text
History
Amended by Stats. 2000, Ch. 857, Sec. 58. 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=1068.1.
- Text hash
- sha256 cfe46274c7c858690a2afab019bde724918b738a0ff6db3a35ad222bfe1a9f12
- 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, § 1394.8Printed as Section 1394.8 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.