Statute · California Insurance Code

Cal. Ins. Code § 10198.9 — Preexisting Condition Provisions

Cal. Ins. Code § 10198.9

Type
Statute
Source
California Insurance Code
Jurisdiction
California
Date
2013-01-01
Current through
Nov 2, 2026 (California Legislative Counsel)

A health benefit plan for group coverage shall not establish rules for eligibility, including continued eligibility, of an individual, or dependent of an individual, to enroll under the terms of the plan based on any of the following health status-related factors:

Citator

Cal. Ins. Code § 10198.9 — Preexisting Condition Provisions is in force in the current edition of the Code, and nothing recorded condemns it.

A health benefit plan for group coverage shall not establish rules for eligibility, including continued eligibility, of an individual, or dependent of an individual, to enroll under the terms of the plan based on any of the following health status-related factors:

(a) Health status.

(b) Medical condition, including physical and mental illnesses.

(c) Claims experience.

(d) Receipt of health care.

(e) Medical history.

(f) Genetic information.

(g) Evidence of insurability, including conditions arising out of acts of domestic violence.

(h) Disability.

(i) Any other health status-related factor as determined by any federal regulations, rules, or guidance issued pursuant to Section 2705 of the federal Public Health Service Act.