Statute · California Insurance Code

Cal. Ins. Code § 10965.13 — Individual Access to Health Insurance

Cal. Ins. Code § 10965.13

Type: Statute
Source: California Insurance Code
Jurisdiction: California
Date: 2018-01-01
Current through: Nov 2, 2026 (California Legislative Counsel)

Citator

Cal. Ins. Code § 10965.13 — Individual Access to Health Insurance is in force in the current edition of the Code, and nothing recorded condemns it.

(a) A health insurer that receives an application for an individual health benefit plan outside the Exchange during the initial open enrollment period, an annual enrollment period, or a special enrollment period described in Section 10965.3 shall inform the applicant that he or she may be eligible for lower cost coverage through the Exchange and shall inform the applicant of the applicable enrollment period provided through the Exchange described in Section 10965.3.

(b) On or before October 1, 2013, and annually every October 1 thereafter, a health insurer shall issue a notice to a policyholder enrolled in an individual health benefit plan offered outside the Exchange. The notice shall inform the policyholder that he or she may be eligible for lower cost coverage through the Exchange and shall inform the policyholder of the applicable open enrollment period and special enrollment periods provided through the Exchange described in Section 10965.3.

(c) This section shall not apply where the individual health benefit plan described in subdivision (a) or (b) is a grandfathered health plan.