California Code of Regulations
Title 10 - Investment
Chapter 5 - Insurance Commissioner
Subchapter 2 - Policy Forms and Other Documents
Article 10 - Commissioner's Review of Complaints of Unlawful Cancellation, Rescission or Nonrenewal of Health Insurance Policies
Section 2274.54 - Reinstatement and Continuation of Coverage

(a) For purposes of this article and Insurance Code section 10273.7, whenever an insurer is required to continue to provide coverage, to reinstate coverage or to reinstate a policyholder, certificate holder or other insured, the insurer must process and pay claims, and provide any required prior authorization of covered services, with respect to that coverage, policyholder, certificate holder or other insured, all in accordance with the terms of the policy or certificate as in the ordinary course of business.

(b) The insurer shall provide coverage to the policyholder, certificate holder, or other insured pursuant to subdivision (d) of Insurance Code section 10273.7 if, on the date of the request for review by the commissioner, any of the following are true:

(c) The insurer shall provide coverage to its policyholder, certificate holder or other insured pursuant to subdivision (b) of this Section 2274.54 as of the date of the request for review. The insurer must comply with the preceding sentence at the time the insurer receives notice pursuant to subdivision (b) of Section 2274.52 that the policyholder, certificate holder or other insured has requested a review by the commissioner. The insurer shall continue to provide coverage until such time as the commissioner determines that:

(d) Subdivision (b) of this Section 2274.54 shall not apply if the insurer cancels the policy or coverage for nonpayment of premiums.