It is unlawful for any person to engage in business as a plan in this state or to receive advance or periodic consideration in connection with a plan from or on behalf of persons in this state unless such person has first secured from the director a license, then in effect, as a plan or unless such person is exempted by the provisions of Section 1343 or a rule adopted thereunder. A person licensed pursuant to this chapter need not be licensed pursuant to the Insurance Code to operate a health care service plan or specialized health care service plan unless the plan is operated by an insurer, in which case the insurer shall also be licensed by the Insurance Commissioner.
Cal. Health & Safety Code § 1349
Licensing and Fees
Known as the Knox-Keene Health Care Service Plan Act
The act spans §§ 1340–1399 (617 sections).
Applied in 5 court decisions — leading case 298 F. Supp. 2d 1259 - In Re Managed Care Litigation (2003)
Most recently applied in Skyline Wesleyan Church v. Ca Dept of Managed Health Care (May 2020)
Amended by Stats. 1999, Ch. 525, Sec. 49
How often courts cite this section
Court decisions citing this, by year. The dip in the last several years is a data-coverage gap, not a real trend — our corpus holds fewer opinions from the most recent years, so recent citations are undercounted.
Official source: California Legislative Information. Reproduced from public-domain California statutes; confirm against the official source for the current text. Not legal advice.