Cal. Health & Safety Code § 1374.22

Health Care Service Plan Coverage Contract Changes

Known as the Knox-Keene Health Care Service Plan Act

The act spans §§ 1340–1399 (617 sections).

Applied in 1 court decision — leading case 225 Cal. App. 4th 862 - Consumer Watchdog v. Department of Managed Health Care (2014)

Most recently applied in 225 Cal. App. 4th 862 - Consumer Watchdog v. Department of Managed Health Care (April 2014)

Amended by Stats. 2010, Ch. 661, Sec. 3

(a) The written notice described in subdivision (a) of Section 1374.21 shall be delivered by mail at the last known address at least 60 days prior to the renewal effective date to the group contract holder.

(b) The written notice shall state in italics and in 12-point type the actual dollar amount and the specific percentage of the premium rate increase. Further, the notice shall describe in plain understandable English and highlighted in italics any changes in the plan design or change in benefits with reduction in benefits, waivers, exclusions, or conditions.

(c) The written notice shall specify in a minimum of 10-point bold typeface the reason or reasons for premium rate changes, plan design, or plan benefit changes.

Official source: California Legislative Information. Reproduced from public-domain California statutes; confirm against the official source for the current text. Not legal advice.