§ 1374.20 (a) No group health care service plan shall change the premium …
§ 1374.21 (a) (1) A change in premium rates or changes in coverage …
§ 1374.22 (a) The written notice described in subdivision (a) of Section …
§ 1374.23 Notwithstanding subdivision (a) of Section 1374.22, if the plan does …
§ 1374.24 There shall be no liability on the part of, and no cause of action of …
§ 1374.25 Proof of mailing a notice and the reason therefor to the appropriate …
§ 1374.255 (a) This section shall apply to grandfathered health care …
§ 1374.26 The director may, as required by this article, or from time to time …
§ 1374.27 The director may levy administrative penalties and may suspend or …
§ 1374.28 In addition to any other penalty provided by law or the availability …
§ 1374.29 The purpose of this article is to promote the public interest, to …

Terms Used In California Codes > Health and Safety Code > Division 2 > Chapter 2.2 > Article 5.5 - Health Care Service Plan Coverage Contract Changes

  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Contract: A legal written agreement that becomes binding when signed.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • department: means State Department of Health Services. See California Health and Safety Code 20
  • Director: means "State Director of Health Services. See California Health and Safety Code 21
  • Enrollee: means a person who is enrolled in a plan and who is a recipient of services from the plan. See California Health and Safety Code 1345
  • Equitable: Pertaining to civil suits in "equity" rather than in "law." In English legal history, the courts of "law" could order the payment of damages and could afford no other remedy. See damages. A separate court of "equity" could order someone to do something or to cease to do something. See, e.g., injunction. In American jurisprudence, the federal courts have both legal and equitable power, but the distinction is still an important one. For example, a trial by jury is normally available in "law" cases but not in "equity" cases. Source: U.S. Courts
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Group contract: means a contract which by its terms limits the eligibility of subscribers and enrollees to a specified group. See California Health and Safety Code 1345
  • License: means , and "licensed" refers to, a license as a plan pursuant to Section 1353. See California Health and Safety Code 1345
  • Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
  • Person: means any person, individual, firm, association, organization, partnership, business trust, foundation, labor organization, corporation, limited liability company, public agency, or political subdivision of the state. See California Health and Safety Code 1345
  • plan: refers to health care service plans and specialized health care service plans. See California Health and Safety Code 1345
  • Plan contract: means a contract between a plan and its subscribers or enrollees or a person contracting on their behalf pursuant to which health care services, including basic health care services, are furnished. See California Health and Safety Code 1345
  • Solicitor: means any person who engages in the acts defined in subdivision ( l). See California Health and Safety Code 1345