Current through Register 2024 Notice Reg. No. 38, September 20, 2024
(a) The basic
scope of benefits offered by participating health plans must comply with all
requirements of the Knox-Keene Health Care Service Plan Act of 1975 including
amendments as well as its applicable regulations, and shall include all of the
benefits and services listed in this section, subject to the exclusions listed in
this section and Section
2699.6703. No other benefits shall be
permitted to be offered by a participating health plan as part of the program. The
basic scope of benefits shall include:
(1) Health
Facilities
(A) Inpatient Hospital Services:
General hospital services, in a room of two or more, with customary furnishings and
equipment, meals (including special diets as medically necessary), and general
nursing care. All necessary ancillary services such as: use of operating room and
related facilities; intensive care unit and services; drugs, medications, and
biologicals; anesthesia and oxygen; diagnostic laboratory and x-ray services;
special duty nursing; physical, occupational, and speech therapy, respiratory
therapy; administration of blood and blood products; other diagnostic, therapeutic
and rehabilitative services as appropriate; and coordinated discharge planning,
including the planning of such continuing care as may be necessary.
Exclusions: Personal or comfort items or a private room in a
hospital are excluded unless medically necessary.
(B) Outpatient Services: Diagnostic, therapeutic
and surgical services performed at a hospital or outpatient facility. Includes
hospital services which can reasonably be provided on an ambulatory basis and
related services and supplies in connection with these services including operating
room, treatment room, ancillary services, and medications which are supplied by the
hospital or facility for use during the subscriber's stay at the facility. Includes
physical, occupational, and speech therapy, if necessary.
(C) Inpatient and Outpatient Services include
coverage for general anesthesia and associated facility charges, and outpatient
services in connection with dental procedures when the use of a hospital or surgery
center is necessary because of the subscriber's medical condition or clinical status
or because of the severity of the dental procedure. This benefit is only available
to subscribers under seven years of age; the developmentally disabled, regardless of
age; and subscribers whose health is compromised and for whom general anesthesia is
medically necessary, regardless of age.
Participating health plans shall coordinate such services with the
subscriber's participating dental plan. Services of the dentist or oral surgeon for
dental procedures are excluded.
(2) Professional Services: Services and
consultations by a physician or other licensed health care provider acting within
the scope of his or her license. Includes services of a surgeon, assistant surgeon
and anesthesiologist (inpatient or outpatient); inpatient hospital and skilled
nursing facility visits; professional office visits including visits for
examinations, allergy tests and treatments, radiation therapy, chemotherapy, and
dialysis treatment; specialist office visits, and home visits.
(3) Preventive Services: Services for the
detection and treatment of asymptomatic diseases including:
(A) Vision Services: For subscriber children,
vision testing, eye refractions to determine the need for corrective lenses, and
dilated retinal eye exams. For subscriber parents, eye refraction is optional for
plan. Includes cataract spectacles, cataract contact lenses, or intraocular lenses
that replace the natural lens of the eye after cataract surgery. Also one pair of
conventional eyeglasses or conventional contact lenses are covered if necessary
after cataract surgery with insertion of an intraocular lens.
(B) Hearing Services: Includes hearing testing, an
audiological evaluation to measure the extent of hearing loss and a hearing aid
evaluation to determine the most appropriate make and model of hearing aid.
Hearing Aid: Monaural or binaural hearing aids including ear
mold(s), the hearing aid instrument, the initial battery, cords and other ancillary
equipment. Visits for fitting, counseling, adjustments, repairs, etc., at no charge
for a one-year period following the provision of a covered hearing aid.
Limitation: For subscriber parents, this benefit is limited to a
maximum of $1000 per member every thirty-six months for the hearing instrument and
ancillary equipment.
Exclusions: The purchase of batteries or other ancillary
equipment, except those covered under the terms of the initial hearing aid purchase,
charges for a hearing aid which exceeds specifications prescribed for correction of
a hearing loss. Replacement parts for hearing aids, repair of hearing aid after the
covered one-year warranty period, replacement of a hearing aid more than once in any
period of thirty-six months, and surgically implanted hearing
devices.
(C) Immunizations for
Subscriber Children: Immunizations consistent with the most current version of the
Recommended Childhood Immunization Schedule/United States adopted by the Advisory
Committee on Immunization Practices (ACIP). Includes immunizations required for
travel as recommended by the ACIP, and other age appropriate immunizations as
recommended by the ACIP.
Immunizations for Subscriber Parents: Immunizations for adults as
recommended by the ACIP. Immunizations required for travel as recommended by the
ACIP. Immunizations such as Hepatitis B for individuals at occupational risk, and
other age appropriate immunizations as recommended by the ACIP.
(D) Periodic Health Examinations:
1. For subscriber children: periodic health
examinations shall include:
(a) Health
examinations.
(b) All routine diagnostic
testing and laboratory services appropriate for such examinations consistent with
the most current Recommendations for Preventative Pediatric Health Care, as adopted
by the American Academy of Pediatrics, and
(c) Anticipatory guidance, screening and
evaluation for lead poisoning.
2. For subscriber parents: shall include:
(a) Health Examinations.
(b) All routine diagnostic testing and laboratory
services appropriate for such examinations. This includes coverage for the screening
and diagnosis of prostate cancer including but not limited to, prostate-specific
antigen testing and digital rectal examination, when medically necessary and
consistent with good medical practice.
3. The frequency of health examinations described
in subsections (a)(3)(D)1.(a) and (a)(3)(D)2.(a) shall not be increased for reasons
which are unrelated to the medical needs of the subscriber including: a subscriber's
desire for physical examinations; or reports or related services for the purpose of
obtaining or maintaining employment, licenses, insurance, or a school sports
clearance.
(E) Well baby care
during the first two years of life, including newborn hospital visits, health
examinations and other office visits.
(F) Family Planning Services: Voluntary family
planning services including, counseling and surgical procedures for sterilization as
permitted by state and federal law, diaphragms, and coverage for other federal Food
and Drug Administration approved devices and contraceptive drugs pursuant to the
prescription drug benefit.
(G) Maternity
Services: Professional and hospital services relating to maternity care including
pre-natal and postpartum care and complications of pregnancy, prenatal diagnosis of
genetic disorders of the fetus by means of diagnostic procedures in cases of
high-risk pregnancy, labor and delivery care, newborn examinations and nursery care
while the mother is hospitalized, and coverage for participation in the statewide
prenatal testing program administered by the State Department of Health Services
known as the Expanded Alpha Feto Protein Program.
(H) Sexually Transmitted Disease (STD) Testing and
Treatment.
(I) Health Education
Services: Includes information regarding personal health behavior and health care,
and recommendations regarding the optimal use of health care services. Includes
diabetes outpatient self-management training, education, and medical nutrition
therapy necessary to enable a subscriber to properly use equipment and supplies
provided for the management and treatment of insulin-using diabetes, non-insulin
using diabetes, and gestational diabetes.
(J) Cytology Examinations on a reasonable periodic
basis.
(K) Gynecological Examinations:
Yearly pelvic examination, Pap smear, breast exam, and any other gynecological
service as appropriate.
(L) Cancer
Screening: Medically accepted cancer screening tests including, but not limited to,
breast, prostate, and cervical cancer screening.
(4) Diagnostic Laboratory Services: Diagnostic
laboratory services, diagnostic imaging, and diagnostic and therapeutic radiological
services necessary to appropriately evaluate, diagnose, treat, and follow-up on the
care of subscribers. Other diagnostic services, which shall include, but not be
limited to, elecrocardiography, electro-encephalography, and mammography for
screening or diagnostic purposes. Laboratory tests appropriate for the management of
diabetes, including at a minimum: cholesterol, triglycerides, microalbuminuria,
HDL/LDL and Hemoglobin A-1C (Glycohemoglobin).
(5) Prescription Drugs: Drugs when prescribed by a
licensed practitioner acting within the scope of his or her licensure. Includes
injectable medication and needles and syringes necessary for the administration of
the covered injectable medication.
Insulin, glucagon, syringes and needles and pen delivery systems
for the administration of insulin, blood glucose testing strips, kerotine urine
testing strips, lancets and lancet puncture devices in medically appropriate
quantities for the monitoring and treatment of insulin dependent, non-insulin
dependent and gestational diabetes.
Prenatal vitamins and fluoride supplements included with vitamins
or independent of vitamins which require a prescription.
All FDA approved oral and injectable contraceptive drugs and
prescription contraceptive devices are covered including internally implanted time
release contraceptives.
One cycle or course of treatment of tobacco cessation drugs in
each twelve (12) consecutive month period. The health plan must also require the
subscriber to attend tobacco use cessation classes or programs in conjunction with
tobacco cessation drugs.
For subscriber parents, plans can require subscribers to pay a
portion or all the cost of the smoking cessation classes or programs. Plans can also
require the subscriber parent to pay the cost of the smoking cessation drug
initially and reimburse the subscriber parent minus the copayment(s) upon the
successful completion of a smoking cessation program.
Drugs administered while a subscriber is a patient or resident in
a rest home, nursing home, convalescent hospital or similar facility when prescribed
by a plan physician in connection with a covered service and obtained through a plan
designated pharmacy.
Health plans may specify that generic equivalent prescription
drugs must be dispensed if available, provided that no medical contraindications
exist. The use of a formulary, maximum allowable cost (MAC) method, and mail order
programs by health plans is encouraged.
Exclusions: Experimental or investigational drugs; drugs or
medications prescribed solely for cosmetic purposes; patent or over-the-counter
medicines, including non-prescription contraceptive jellies, ointments, foams,
condoms, etc., even if prescribed by a doctor; medicines not requiring a written
prescription order (except insulin and smoking cessation drugs as previously
described); and dietary supplements (except for formulas or special food products to
treat phenylketonuria or PKU); and appetite suppressants or any other diet drugs or
medications, unless necessary for the treatment of morbid obesity.
(6) Durable Medical Equipment: Medical equipment
appropriate for use in the home which:
1) is
intended for repeated use;
2) is
generally not useful to a person in the absence of illness or injury; and
3) primarily serves a medical purpose. The health
plan may determine whether to rent or purchase standard equipment. Repair or
replacement is covered unless necessitated by misuse or loss.
Includes oxygen and oxygen equipment; blood glucose monitors and
blood glucose monitors for the visually impaired as medically appropriate for
insulin dependent, non-insulin dependent, and gestational diabetes; insulin pumps
and all related supplies; visual aids, excluding eyewear, to assist the visually
impaired with proper dosing of insulin; apnea monitors; podiatric devices to prevent
or treat diabetes complications; pulmoaides and related supplies; nebulizer
machines, face masks, tubing and related supplies, peak flow meters and spacer
devices for metered dose inhalers; ostomy bags and urinary catheters and
supplies.
Exclusions: Coverage for comfort or convenience items; disposable
supplies except ostomy bags and urinary catheters and supplies consistent with
Medicare coverage guidelines; exercise and hygiene equipment; experimental or
research equipment; devices not medical in nature such as sauna baths and elevators,
or modifications to the home or automobile; deluxe equipment; or more than one piece
of equipment that serve the same function.
(7) Orthotics and Prosthetics: Orthotics and
prosthetics including replacement prosthetic devices, and replacement orthotic
devices when prescribed by a licensed provider acting within the scope of his or her
licensure. Coverage for the initial and subsequent prosthetic devices and
installation accessories to restore a method of speaking incident to a laryngectomy,
and therapeutic footwear for diabetics. Also includes prosthetic devices to restore
and achieve symmetry incident to mastectomy.
Exclusions: Corrective shoes and arch supports, except for
therapeutic footwear and inserts for individuals with diabetes; non-rigid devices
such as elastic knee supports, corsets, elastic stockings, and garter belts; dental
appliances; electronic voice producing machines; or more than one device for the
same part of the body. Also does not include eyeglasses (except for eyeglasses or
contact lenses necessary after cataract surgery).
(8) Medical Transportation Services: Emergency
ambulance transportation in connection with emergency services to the first hospital
which actually accepts the subscriber for emergency care. Includes ambulance and
ambulance transport services provided through the "911" emergency response system.
Non-emergency transportation for the transfer of a subscriber from
a hospital to another hospital or facility or facility to home when the
transportation is:
(A) Medically necessary,
and
(B) Requested by a plan provider,
and
(C) Authorized in advance by the
participating health plan.
Exclusions: Coverage for public transportation, including
transportation by airplane, passenger car, taxi or other form of public
conveyance.
(9)
Emergency Health Care Services: Twenty-four hour emergency care for a medical or
psychiatric condition, including active labor or severe pain, manifesting itself by
acute symptoms of a sufficient severity such that the absence of immediate medical
attention could reasonably be expected to result in any of the following:
(A) Serious jeopardy to the patient's health, or
Serious impairment to bodily functions, or
(C) Serious dysfunction of any bodily organ or
part. Coverage must be provided both inside and outside of the health plan's service
area and in participating and non-participating facilities.
(10) Mental Health
(A) Inpatient:
1. Mental health care during a certified
confinement in a participating hospital when ordered and performed by a
participating mental health provider for the treatment of a mental health
condition.
2.
a. Plans shall be responsible for identifying
subscriber children who may have a Serious Emotional Disturbances (SED) condition,
as defined in California Health and Safety Code section
1374.72,
or may have a serious mental disorder, as defined in Welfare and Institutions Code
section
5600.3,
and shall refer these individuals to their respective county mental health
department for evaluation. The plan and the county shall coordinate services for the
subscriber.
b. The plan is excused from
responsibility for providing a covered service to treat a subscriber child's serious
emotional disturbance or serious mental disorder only to the extent that the
treatment is authorized and provided by a County Mental Health Department as defined
in Welfare and Institutions Code Section
5600.3.
3. Plans must provide services with no inpatient
day limits for severe mental illnesses including schizophrenia, schizoaffective
disorder, bipolar disorder, major depressive disorders, panic disorder,
obsessive-compulsive disorder, pervasive developmental disorder or autism, anorexia
nervosa, and bulimia nervosa.
4.
a. For the benefit year commencing July 1, 2009,
plans may limit inpatient coverage to 38 days per benefit year for illnesses that
meet neither the criteria for severe mental illnesses nor the criteria for SED of a
child or for a serious mental disorder. Plans, with the agreement of the subscriber
or applicant or other responsible adult if appropriate, may substitute for each day
of inpatient hospitalization any of the following: two (2) days of residential
treatment, three (3) days of day care treatment, or four (4) outpatient
visits.
b. Effective October 1, 2010,
plans shall provide services with no day limits for in patient mental health
treatment.
(B)
Outpatient:
1. Mental health care when ordered and
performed by a participating mental health provider. This includes the treatment of
children who have experienced family dysfunction or trauma, including child abuse
and neglect, domestic violence, substance abuse in the family, or divorce and
bereavement. Family members may be involved in the treatment to the extent the plan
determines it is appropriate for the health and recovery of the child.
2.
a. Plans
shall be responsible for identifying subscriber children who may have a Serious
Emotional Disturbances (SED) condition, as defined in California Health and Safety
Code section
1374.72,
or may have a serious mental disorder, as defined in Welfare and Institutions Code
section
5600.3,
and shall refer these individuals to their county mental health department for
evaluation. The plan and the county shall coordinate services for the
subscriber.
b. The plan is excused from
responsibility for providing a covered service to treat a subscriber child's serious
emotional disturbance or serious mental disorder only to the extent that the
treatment is authorized and provided by a County Mental Health Department as defined
in Welfare and Institutions Code Section
5600.3.
3. Plans must provide services with no out patient
visit limits for severe mental illnesses including schizophrenia, schizoaffective
disorder, bipolar disorder, major depressive disorders, panic disorder,
obsessive-compulsive disorder, pervasive developmental disorder or autism, anorexia
nervosa, and bulimia nervosa.
4.
a. For the benefit year commencing July 1, 2009,
plans must provide up to 25 visits per benefit year for illnesses that meet neither
the criteria for severe mental illnesses, nor the criteria for SED of a child or a
serious mental disorder. Participating plans may elect to provide additional visits.
Plans may provide group therapy at a reduced copayment.
b. Effective October 1, 2010, plans shall provide
services with no visit limits for out patient mental health
treatment.
(11) Alcohol and Drug Abuse Treatment Services:
(A) Inpatient: Hospitalization for alcoholism or
drug abuse to remove toxic substances from the system.
(B) Outpatient: Crisis intervention and treatment
of alcoholism or drug abuse on an outpatient basis. For the benefit year commencing
July 1, 2009, participating health plans shall provide at least 25 visits per
benefit year. Participating health plans may elect to provide additional
visits.
(C) Effective October 1, 2010, a
plan may not limit the number of visits for alcohol and drug abuse treatment
services.
(12) Home Health
Services: Health services provided at the home by health care personnel. Includes
visits by Registered Nurses, Licensed Vocational Nurses, and home health aides;
physical, occupational and speech therapy; and respiratory therapy when prescribed
by a licensed practitioner acting within the scope of his or her licensure.
Home health services are limited to those services that are
prescribed or directed by the attending physician or other appropriate authority
designated by the plan. If a basic health service can be provided in more than one
medically appropriate setting, it is within the discretion of the attending
physician or other appropriate authority designated by the plan to choose the
setting for providing the care. Plans shall exercise prudent medical case management
to ensure that appropriate care is rendered in the appropriate setting. Medical case
management may include consideration of whether a particular service or setting is
cost-effective when there is a choice among several medically appropriate
alternative services or settings.
Exclusions: Custodial care.
(13) Skilled Nursing Care:
(A) Services prescribed by a plan physician or
nurse practitioner and provided in a licensed skilled nursing facility. Includes
skilled nursing on a 24-hour per day basis; bed and board; x-ray and laboratory
procedures; respiratory therapy; physical, occupational and speech therapy; medical
social services; prescribed drugs and medications; medical supplies; and appliances
and equipment ordinarily furnished by the skilled nursing facility. This benefit
shall be limited to a maximum of 100 days per benefit year.
(B) For the benefit year commencing July 1, 2009,
this benefit shall be limited to a maximum of 125 days per benefit year.
(C) Exclusions: Custodial
care.
(14) Physical,
Occupational, and Speech Therapy: Therapy may be provided in a medical office or
other appropriate outpatient setting, hospital, skilled nursing facility or home.
Plans may require periodic evaluations as long as therapy is provided.
(15) Acupuncture and Chiropractic:
(A) These are optional benefits which plans may
offer. If offered, the plan must provide a self referral benefit, and cannot require
referral from a primary care or other physician or health professional. Coverage is
limited to a maximum of 20 visits each per benefit year. Plans may provide a
combined chiropractic/acupuncture benefit with a minimum of 20 visits allowed for
both disciplines.
(B) For the benefit
year commencing July 1, 2009, coverage is limited to a maximum of 25 visits each
benefit year. Plans may provide a combined chiropractic/acupuncture benefit with a
minimum of 25 visits allowed for both disciplines.
(16) Biofeedback is an optional benefit which
health plans may offer.
(17) Blood and
Blood Products: Processing, storage, and administration of blood and blood products
in inpatient and outpatient settings. Includes the collection and storage of
autologous blood when medically indicated.
(18) Hospice: The hospice benefit is provided to
subscribers who are diagnosed with a terminal illness with a life expectancy of
twelve months or less and who elect hospice care for such illness instead of the
traditional services by the plan.
The hospice benefit shall include nursing care, medical social
services, home health aide services, physician services, drugs, medical supplies and
appliances, counseling and bereavement services, physical therapy, occupational
therapy, speech therapy, short-term inpatient care, pain control, and symptom
management.
The hospice benefit may include, at the option of the health plan,
homemaker services, services of volunteers, and short-term inpatient respite
care.
Individuals who elect hospice care are not entitled to any other
benefits under the plan for the terminal illness while the hospice election is in
effect. The hospice election may be revoked at any time.
(19) Transplants: Coverage for organ transplants
and bone marrow transplants which are not experimental or investigational. Includes
reasonable medical and hospital expenses of a donor or an individual identified as a
prospective donor if these expenses are directly related to the transplant for a
subscriber.
Charges for testing of relatives for matching bone marrow
transplants.
Charges associated with the search and testing of unrelated bone
marrow donors through a recognized Donor Registry and charges associated with the
procurement of donor organs through a recognized Donor Transplant Bank, if the
expenses are directly related to the anticipated transplant of a
subscriber.
(20) Reconstructive
Surgery: Surgery to restore and achieve symmetry and surgery performed to correct or
repair abnormal structures of the body caused by congenital defects, developmental
abnormalities, trauma, infection, tumors or disease to do either of the following:
(A) Improve function
(B) Create a normal appearance to the extent
possible. Includes reconstructive surgery to restore and achieve symmetry incident
to mastectomy.
(21) Clinical
Trial for Cancer Patients: Coverage for a subscriber's participation in a clinical
trial when the subscriber has been diagnosed with cancer and has been accepted into
a phase I through phase IV clinical trial for cancer, and the subscriber's treating
physician recommends participation in the clinical trial after determining that
participation will have a meaningful potential to benefit the subscriber. Coverage
includes the payment of costs associated with the provision of routine patient care,
including drugs, items, devices and services that would otherwise be covered if they
were not provided in connection with an approved clinical trial program; services
required for the provision of the investigational drug, item, device or service;
services required for the clinically appropriate monitoring of the investigational
drug, item, device, or service; services provided for the prevention of
complications arising from the provision of the investigational drug, item, device,
or service; and services needed for the reasonable and necessary care arising from
the provision of the investigational drug, item, device, or service, including
diagnosis or treatment of complications.
Exclusions: Provisions of non-FDA-approved drugs or devices that
are the subject of the trial; services other than health care services, such as
travel, housing, and other non-clinical expenses that a member may incur due to
participation in the trial; any item or service that is provided solely to satisfy
data collection and analysis needs and that is not used in the clinical management
of the patient; services that are otherwise not a benefit (other than those excluded
on the basis that they are investigational or experimental); and services that are
customarily provided by the research sponsors free of charge for any enrollee in the
trial. Coverage for clinical trials may be restricted to participating hospitals and
physicians in California, unless the protocol for the trial is not provided in
California.
(22) Phenylketonuria
(PKU): Testing and treatment of PKU, including those formulas and special food
products that are part of a diet prescribed by a licensed physician and managed by a
health care professional in consultation with a physician who specializes in the
treatment of metabolic disease, provided that the diet is deemed necessary to avert
the development of serious physical or mental disabilities or to promote normal
development or function as a consequence of PKU.
(23)
(A)
Participating health plans shall be responsible for identifying subscribers under
the age of 21 who have conditions for which they may be eligible to receive services
under the California Children's Services (CCS) Program and shall refer these
individuals to the local CCS Program for determination of eligibility.
(B) The plan is excused from responsibility from
providing a covered service to treat the subscriber's CCS condition only to the
extent that the treatment is authorized by the CCS program and provided by a CCS
provider as described in the California Code of Regulations, Title 22, Division 2,
Part 2, Subdivision 7, Section 41412.
(C) If a subscriber is determined by the CCS
Program to be eligible for CCS benefits, participating health plans shall provide
primary care and services unrelated to the CCS eligible condition and shall ensure
coordination of services between plan providers, CCS providers, and the local CCS
Program.
(24) Participating
health plans shall be responsible for identifying subscriber children who are
severely emotionally disturbed and shall refer these individuals to their county
mental health department for continued treatment of the
condition.
1. New article 3
(sections 2699.6700-2699.6721) and section filed 2-20-98 as an emergency; operative
2-20-98 (Register 98, No. 8). A Certificate of Compliance must be transmitted to OAL
by 6-22-98 or emergency language will be repealed by operation of law on the
following day.
2. Certificate of Compliance as to 2-20-98 order
transmitted to OAL 6-5-98 and filed 7-15-98 (Register 98, No. 29).
3.
Editorial correction of article heading (Register 2001, No. 43).
4.
Amendment of section and NOTE filed 4-29-2002 as an emergency; operative 4-29-2002
(Register 2002, No. 18). Pursuant to Chapter 946, Statutes of 2000, section 2, a
Certificate of Compliance must be transmitted to OAL by 10-28-2002 or emergency
language will be repealed by operation of law on the following day.
5.
Certificate of Compliance as to 4-29-2002 order, including amendment of subsections
(a)(12)(A)-(B), transmitted to OAL 10-28-2002 and filed 12-12-2002 (Register 2002,
No. 50).
6. Amendment filed 9-15-2008; operative 10-15-2008 (Register
2008, No. 38).
7. Amendment of subsections (a)(5) and (a)(10)(A), new
subsections (a)(10)(A)1.-4.b., amendment of subsection (a)(10)(B), new subsections
(a)(10)(B)1.-4.b., amendment of subsections (a)(11) and (a)(11)(B), new subsection
(a)(11)(C), amendment of subsection (a)(13), new subsections (a)(13)(A)-(C),
amendment of subsection (a)(15), new subsections (a)(15)(A)-(B), repealer and new
subsection (d)(2) and amendment of NOTE filed 6-24-2010 as an emergency; operative
7-1-2010 pursuant to Government Code section
11346.1(d)
(Register 2010, No. 26). A Certificate of Compliance must be transmitted to OAL by
12-28-2010 or the emergency action will be repealed by operation of law on the
following day.
8. Amendment of subsection (a)(3)(B) and redesignation and
amendment of subsection (a)(3)(D) as subsections (a)(3)(D)-(a)(3)(D)3. filed
7-30-2010; operative 8-29-2010 (Register 2010, No. 31).
9. Editorial
correction of subsections (a)(10)(B)3. and (a)(1)(B)4.b. (Register 2011, No.
5).
10. Certificate of Compliance as to 6-24-2010 order transmitted to
OAL 12-21-2010 and filed 2-2-2011 (Register 2011, No. 5).
11.
Redesignation and amendment of former subsection (a)(23) as subsection (a)(23)(A),
new subsections (a)(23)(B)-(C) and amendment of NOTE filed 6-30-2011, deemed an
emergency pursuant to Insurance Code section
12693.22;
operative 6-30-2011 (Register 2011, No. 26). A Certificate of Compliance must be
transmitted to OAL by 12-27-2011 or the emergency action will be repealed by
operation of law on the following day.
12. Certificate of Compliance as
to 6-30-2011 order transmitted to OAL 12-20-2011 and filed 2-3-2012 (Register 2012,
No. 5).
Note: Authority cited: Sections
12693.21,
12693.22,
12693.62 and
12693.755,
Insurance Code. Reference: Sections
12693.21,
12693.22,
12693.60,
12693.61,
12693.62 and
12693.755,
Insurance Code.
