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