§ 1375.1 (a) Every plan shall have and shall demonstrate to the director …
§ 1375.2 On and after October 1, 1977, every plan operating under a …
§ 1375.3 (a) A health care service plan shall meet and confer with the …
§ 1375.4 (a) Every contract between a health care service plan and a …
§ 1375.5 No contract between a risk-bearing organization and a health care …
§ 1375.6 No contract between a risk-bearing organization and a health care …
§ 1375.61 (a) A contract issued, amended, or renewed on or after January …
§ 1375.7 (a) This section shall be known and may be cited as the Health …
§ 1375.8 (a) The Legislature finds the following:(1) Because of …
§ 1375.9 (a) A health care service plan shall ensure that there is at …
§ 1376 (a) No plan shall conduct any activity regulated by this chapter …
§ 1376.1 The deposit requirements of Section 1300.76.1 of Title 28 of the …
§ 1377 (a) Every plan which reimburses providers of health care …
§ 1378 No plan shall expend for administrative costs in any fiscal year an …
§ 1379 (a) Every contract between a plan and a provider of health care …
§ 1379.5 (a) On and after July 1, 2008, every contract between a plan and …
§ 1380 (a) The department shall conduct periodically an onsite medical …
§ 1380.1 (a) The Legislature finds and declares as follows:(1) …
§ 1380.3 The department shall coordinate the surveys conducted pursuant to …
§ 1381 (a) All records, books, and papers of a plan, management …
§ 1382 (a) The director shall conduct an examination of the fiscal and …
§ 1383 Every plan that is a health maintenance organization qualified under …
§ 1383.1 (a) On or before July 1, 1997, every health care service plan …
§ 1383.15 (a) When requested by an enrollee or participating health …
§ 1384 (a) Within 90 days after receipt of a request from the director, …
§ 1385 Each plan, solicitor firm, and solicitor shall keep and maintain …

Terms Used In California Codes > Health and Safety Code > Division 2 > Chapter 2.2 > Article 6 - Operation and Renewal Requirements and Procedures

  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Appraisal: A determination of property value.
  • Appropriation: The provision of funds, through an annual appropriations act or a permanent law, for federal agencies to make payments out of the Treasury for specified purposes. The formal federal spending process consists of two sequential steps: authorization
  • Bankruptcy: Refers to statutes and judicial proceedings involving persons or businesses that cannot pay their debts and seek the assistance of the court in getting a fresh start. Under the protection of the bankruptcy court, debtors may discharge their debts, perhaps by paying a portion of each debt. Bankruptcy judges preside over these proceedings.
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Continuance: Putting off of a hearing ot trial until a later time.
  • Conviction: A judgement of guilt against a criminal defendant.
  • County: includes city and county. See California Health and Safety Code 14
  • 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
  • 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.
  • Fair market value: The price at which an asset would change hands in a transaction between a willing, informed buyer and a willing, informed seller.
  • Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
  • Grand jury: agreement providing that a lender will delay exercising its rights (in the case of a mortgage,
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity.
  • License: means , and "licensed" refers to, a license as a plan pursuant to Section 1353. See California Health and Safety Code 1345
  • licensed: refers to , a license as a plan pursuant to Section 1353. See California Health and Safety Code 1345
  • Oath: A promise to tell the truth.
  • Oversight: Committee review of the activities of a Federal agency or program.
  • 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
  • Pleadings: Written statements of the parties in a civil case of their positions. In the federal courts, the principal pleadings are the complaint and the answer.
  • Project: includes the erection, construction, alteration, painting, repair, or improvement of any state structure, building, road, or other state improvement of any kind. See California Public Contract Code 10701
  • Provider: means any professional person, organization, health facility, or other person or institution licensed by the state to deliver or furnish health care services. See California Health and Safety Code 1345
  • Public law: A public bill or joint resolution that has passed both chambers and been enacted into law. Public laws have general applicability nationwide.
  • Remainder: An interest in property that takes effect in the future at a specified time or after the occurrence of some event, such as the death of a life tenant.
  • Solicitation: means any presentation or advertising conducted by, or on behalf of, a plan, where information regarding the plan, or services offered and charges therefor, is disseminated for the purpose of inducing persons to subscribe to, or enroll in, the plan. 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
  • Solicitor firm: means any person, other than a plan, who through one or more solicitors engages in the acts defined in subdivision ( l). See California Health and Safety Code 1345
  • specialized health care service plan: means either of the following:

    California Health and Safety Code 1345

  • State: means the State of California, unless applied to the different parts of the United States. See California Health and Safety Code 23
  • Subscriber: means the person who is responsible for payment to a plan or whose employment or other status, except for family dependency, is the basis for eligibility for membership in the plan. See California Health and Safety Code 1345
  • Trustee: A person or institution holding and administering property in trust.
  • Trustees: means the Trustees of the California State University and their designees. See California Public Contract Code 10701