California Code of Regulations
Title 10 - Investment
Chapter 5.7 - Voluntary Alliance Uniting Employers Purchasing Pool (the Health Insurance Plan of California)
Article 2 - Participation Requirements, Application and Enrollment
Section 2699.6195 - Payment to Insurance Agents and Brokers for Member Employers and Individual Members when Premiums Collected by Guaranteed Association

Universal Citation: 10 CA Code of Regs 2699.6195

Current through Register 2024 Notice Reg. No. 12, March 22, 2024

(a) This subsection applies to guaranteed associations with an effective date of coverage prior to September 1, 1998 that have not made an election pursuant to Section 2699.6116.

(1) When the qualified guaranteed association collects the employer premium and individual member premium from the member employers and the individual members it shall be as follows:
(A) The guaranteed association may collect from its members and pay to agents as defined in Section 31 of the Insurance Code or brokers as defined in Section 33 of the Insurance Code an amount consistent with the policies and practices of the qualified guaranteed association.

(B) The employer premium or individual member premium shall include an agent or broker fee if the guaranteed association has elected to utilize the services of an agent or broker.

(b) This subsection applies to guaranteed associations with an effective date of coverage on or after September 1, 1998 and guaranteed associations who have made an election pursuant to Section 2699.6116.

(1) When the qualified guaranteed association collects the employer premiums and individual member premiums from the member employers and the individual members, the agent or broker fee shall be seven percent of the comprehensive individual medical premiums and comprehensive individual dental premiums for individual members and the agent or broker fee shall be eight percent of the comprehensive individual medical premiums and comprehensive individual dental premiums for member employers.

(2) The guaranteed association may designate an agent or broker as defined in Sections 31 and 33 of the Insurance Code to whom the agent or broker fee shall be paid.

(3) If the guaranteed association does not designate an agent or broker then the agent or broker fee shall be retained by the program as part of the program participation fee.

1. Renumbering of former section 2699.628.5 to section 2699.6195 filed 5-27-94; operative 5-27-94 (Register 94, No. 21).
2. Amendment filed 7-3-98 as an emergency; operative 7-3-98 (Register 98, No. 27). A Certificate of Compliance must be transmitted to OAL by 11-2-98 or emergency language will be repealed by operation of law on the following day.
3. Certificate of Compliance as to 7-3-98 order transmitted to OAL 10-2-98 and filed 11-16-98 (Register 98, No. 47).

Note: Authority cited: Section 10731, Insurance Code. Reference: Section 10731, Insurance Code.

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