Statute · California Insurance Code
Cal. Ins. Code § 12693.48 — Administration
Cal. Ins. Code § 12693.48
- Type
- Statute
- Source
- California Insurance Code
- Jurisdiction
- California
- Date
- 1998-01-01
- Current through
- Nov 2, 2026 (California Legislative Counsel)
The board may adjust payments made to a participating health plan if the board finds that the plan has a significantly disproportionate share of high- or low-risk subscribers. Prior to making this finding, the program shall obtain validated data from participating health plans. Reporting…
Citator
Cal. Ins. Code § 12693.48 — Administration is in force in the current edition of the Code, and nothing recorded condemns it.
The board may adjust payments made to a participating health plan if the board finds that the plan has a significantly disproportionate share of high- or low-risk subscribers. Prior to making this finding, the program shall obtain validated data from participating health plans. Reporting requirements shall be administratively compatible with the methods of operation of the health plans. Any adjustments to payments shall utilize demographic and other factors which are actuarially related to risk.