The board may adjust payments made to a carrier if the board finds that the carrier has a significantly disproportionate share of high- or low-risk enrollees. Prior to making this finding, the program shall obtain valid data from participating carriers. Reporting requirements shall be administratively compatible with the methods of operation of the carrier. Any adjustments to payments shall be prospective and shall utilize demographic and other factors which are actuarially related to risk.
Cal. Ins. Code § 10747
Purchasing Pool for Small Employers
Known as the Health Insurance Disclosure Act
The act spans §§ 10110 to 11549 (1,209 sections).
Added by Stats. 1992, Ch. 1128, Sec. 10
Official source: California Legislative Information. Reproduced from public-domain California statutes; confirm against the official source for the current text. Not legal advice.