California Code of Regulations
Title 10 - Investment
Chapter 5 - Insurance Commissioner
Subchapter 2 - Policy Forms and Other Documents
Article 1 - Document Submission and Approval Procedures; Fees
Section 2201 - Definitions

Universal Citation: 10 CA Code of Regs 2201

Current through Register 2024 Notice Reg. No. 38, September 20, 2024

As used in this Article:

(a) "Document" includes but is not limited to every form of contract, insurance policy, application, enrollment form, rider, endorsement, amendment, insert policy page, certificate or other evidence or notice of insurance, report and other filing pertaining to health insurance, statement of variability, schedule of rates and classification of risks except for workers' compensation insurance, actuarial memorandum, advertisement, and any modification thereto, which is required by law to be filed or approved and which pertains to coverages defined in Ins. C. §§ 101, 106 and 109.

(b) "Fee" means the fee charged by the Commissioner for the filing or approval of documents subject to this Article.

(c) "Application" means a document used to apply for or request individual or group insurance coverage which contains medical or economic questions designed to determine the rating class or the eligibility for coverage of one or more persons and which is not an "enrollment" form. This definition shall not apply to "application" as it may be used in any other statute or regulation.

(d) "Enrollment Form" means a document used to apply for or request individual or group insurance coverage which contains no questions about an individual's health status or eligibility for coverage except that it may inquire about age, family status, dependency or current or past employment. A document to be used by a master-policy-holder to apply for or request group insurance is an "enrollment form" for the purposes of these regulations, provided that no information concerning the health of any persons to be covered is solicited. This definition shall not be used to interpret the word "enrollment form" as it may be used in any other statute or regulation.

(e) "Rider" or "insert page" means a document of one or more pages, identified by a single form number, which is physically added to or inserted into another document, such as a policy, certificate, application or other rider. For purposes of this Article, the term "rider" includes endorsements.

(f) "Text cell" means a block of text not to exceed one paragraph in length, which is identified by a form number and which is printed with other similarly-identified blocks of text to comprise documents such as policies and certificates. A text cell exceeding one paragraph in length or a list of words or phrases to be inserted into a waiver rider is considered to be a "rider" or an "insert page." "Text cell" filings are not permitted.

(g) "Statement of Variability" means a document which sets forth variable content. Variable content is described in § 2213 of this Article.

1. Amendment of subsection (a), new subsections (c)-(f) and repealer and new NOTE filed 8-26-96 as an emergency; operative 9-3-96 (Register 96, No. 35). A Certificate of Compliance must be transmitted to OAL by 1-2-97 or emergency language will be repealed by operation of law on the following day.
2. Certificate of Compliance as to 8-26-96 order, including amendment of NOTE, transmitted to OAL 12-27-96 and filed 2-11-97 (Register 97, No. 7).
3. Amendment of subsections (a) and (d)-(f), new subsection (g) and amendment of NOTE filed 2-4-2016; operative 4-1-2016 (Register 2016, No. 6).

Note: Authority cited: Sections 742.43, 779.21, 10168.92, 10192.3, 10234, 10292, 10327, 10506, 10506.3, 10704, 12921.6 and 12973.9, Insurance Code. Reference: Sections 742.42, 779.8, 795.5, 1320, 9080.1, 10112.5, 10113.95(c), 10123.36, 10123.135, 10123.137(d), 10133.5, 10163.35, 10168.93, 10181.3, 10192.13(a)(7), 10192.14(b)(1), 10192.15, 10192.19, 10192.22, 10198.61, 10205, 10225, 10231.2, 10231.6, 10232, 10234.9, 10234.93, 10234.97, 10236.11, 10236.13, 10270, 10270.1, 10270.2, 10270.3, 10270.5, 10270.507, 10270.57, 10270.9, 10270.93, 10271, 10271.1, 10290, 10292, 10295.2, 10436, 10506, 10705, 10717, 10753.05, 10753.17, 11011, 11027, 11029, 11066, 11069, 11522, 11658, 12250, 12921.6 and 12973.9, Insurance Code.

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