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 2220.20 - Basic Blanket Medical Expense Benefits
Current through Register 2024 Notice Reg. No. 38, September 20, 2024
A benefit providing basic blanket coverage (coverage without inside dollar limits for specific items) for basic medical expenses shall not be subject to the provisions of Sections 2220.15, 2220.16 and 2220.17 but shall be deemed not sufficient to be of real economic value to the insured if.
(a) When an accident benefit, its limit is less than $1,000 or the expenses for which it is payable are limited to those incurred within a period of less than six months following each separate accident; or
(b) When a sickness benefit, other than a benefit described in Section 2220.24, is limited to a specifically named sickness, its limit is less than $1,000 or the expenses for which it is payable are limited to those incurred within a period of less than six months following the commencement of any one period of sickness; or
(c) Payments for the expenses of each separate accident or period of sickness are subject to a deductible amount in excess of ten percent of the maximum benefit.
