California Code of Regulations
Title 10 - Investment
Chapter 5 - Insurance Commissioner
Subchapter 2 - Policy Forms and Other Documents
Article 1.3 - Mandated Benefits Analysis Regulations
Section 2218.60 - Definitions
Current through Register 2024 Notice Reg. No. 38, September 20, 2024
(a) The term "health insurer" means any disability insurer that issues a policy of "health insurance" as defined in California Insurance Code Section 106.
(b) The term "number of covered lives" means the sum of all named insureds and all covered dependents insured by a health insurer.
(c) The term "percent to total ratio" means the total number of covered lives insured by a health insurer in the state of California divided by the total number of covered lives insured by all health insurers in the state of California.
(d) The term "total need" means the dollar amount the Department of Insurance has determined that it is responsible for and has stipulated in order to fund the University of California study of mandated benefits required by California Health and Safety Code Section 127760. The dollar amount of the "total need" shall be calculated in the manner described in 2218.61(b).
1. New article 1.3 (sections 2218.60-2218.63) and section filed 4-1-2005; operative 5-1-2005 (Register 2005, No. 13).
Note: Authority cited: Sections 127662 and 127664, Health and Safety Code; and Sections 12921 and 12926, Insurance Code. Reference: Section 106, Insurance Code; and Sections 127660, 127661, 127662, 127663 and 127664, Health and Safety Code.
