California Code of Regulations
Title 10 - Investment
Chapter 5 - Insurance Commissioner
Subchapter 2 - Policy Forms and Other Documents
Article 1.5 - Standards for Determining Conformity of Individual Disability Policies with the Provisions of Paragraph (7) of Subdivision (b) of Section 10291.5 of the Insurance Code
Subarticle 4 - Basic Medical Benefits
Section 2220.19 - Basic Accident Emergency Treatment Benefit
Current through Register 2024 Notice Reg. No. 38, September 20, 2024
A separate basic accident emergency treatment benefit shall be deemed not sufficient to be of real economic value to the insured if:
(a) The amount of the benefit is less than one day of the loss-of-time benefit (without application of any elimination period) but in no event less than $10.00 when an emergency accident treatment benefit is provided on other than an expense incurred basis in a loss-of-time policy; or
(b) The benefit is payable on an expense incurred basis, and the amount is less than $25.00; or
(c) The benefit is payable, irrespective of the expense incurred, in other than a loss-of-time policy, and the amount payable is less than $10.00.
