California Code of Regulations
Title 10 - Investment
Chapter 5 - Insurance Commissioner
Subchapter 2 - Policy Forms and Other Documents
Article 2.3 - Forms of Standard Provisions for Coordination of Benefits
Section 2232.52 - Applicability

Universal Citation: 10 CA Code of Regs 2232.52
Current through Register 2024 Notice Reg. No. 38, September 20, 2024

These regulations do not require the use of overinsurance provisions in group disability policies or group non-profit hospital service plan contracts. If, however, such a policy or contract contains overinsurance provisions, such provisions must be consistent with and no less favorable than the Standard Group Coordination of Benefit Provisions and Instructions herein established. To this end, overinsurance provisions, or provisions for the reduction of benefits otherwise payable because of other insurance by whatever name designated, which are less favorable than the Standard Coordination of Benefit Provisions herein contained may not be used, except that plans of coverage designated to be supplementary over the policyholder's underlying basic plan of coverage may provide that its coverage shall be excess to that specific policyholder's plan of basic coverage from whatever source provided. (See Section 2232.35 of Article 2a supra.)

1. Amendment filed 1-8-86; effective thirtieth day thereafter (Register 86, No. 2).

Note: Authority cited: Sections 10270.94, 10270.98, 11515 and 11515.5, Insurance Code. Reference: Sections 10270.98 and 11515.5, Insurance Code.

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