{"data":{"id":"us-ca/ins-10752.4","jurisdiction":"us-ca","citation":"INS § 10752.4","heading":"","body":"A stop-loss insurance policy issued, reissued, or renewed on or after January 1, 2016, to a small employer shall not contain any of the following provisions:\n(a) An individual attachment point for a policy year that is less than forty thousand dollars ($40,000).\n(b) An aggregate attachment point for a policy year that is less than the greater of one of the following:\n(1) Five thousand dollars ($5,000) times the total number of group members.\n(2) One hundred twenty percent of expected claims.\n(3) Forty thousand dollars ($40,000).\n(c) A provision for direct coverage of an employee or dependent of an employee.","path":["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.]"],"source_url":"https://downloads.leginfo.legislature.ca.gov/pubinfo_2025.zip","current_through":"2026-09-13","vintage":"","retrieved_at":"2026-09-14T05:56:33Z","sha256":"52eebfcd3035965f59929c81a137fc8f9141f5dea6a27179132332e3b95523ff","source_id":"us-ca","stale":false,"prev":"us-ca/ins-10752.3","next":"us-ca/ins-10752.43"},"notice":"GroundRules: Original legal text. Not legal advice."}