GroundRules
INS § 10752.3
Where this section sits in the code
- Insurance Code - INS
- DIVISION 2. CLASSES OF INSURANCE [1880. - 12880.8.]
- PART 2. LIFE AND DISABILITY INSURANCE [10110. - 11549.]
- CHAPTER 8. Small Employer Health Insurance [10700. - 10752.8.]
- ARTICLE 5. Stop-Loss Insurance [10752. - 10752.8.]
A stop-loss insurance policy issued, reissued, or renewed on or after January 1, 2014, and prior to January 1, 2016, to a small employer shall not contain any of the following provisions:
(a) An individual attachment point for a policy year that is less than thirty-five thousand dollars ($35,000).
(b) An aggregate attachment point for a policy year that is less than the greater of one of the following:
(1) Five thousand dollars ($5,000) times the total number of group members.
(2) One hundred twenty percent of expected claims.
(3) Thirty-five thousand dollars ($35,000).
(c) A provision for direct coverage of an employee or dependent of an employee.
Collected 2026-09-14T05:56:33Z. Source file · JSON