§ 1385.01 For purposes of this article, the following definitions shall …
§ 1385.02 This article shall apply to a health care service plan contract …
§ 1385.03 (a) (1) A health care service plan shall file with the …
§ 1385.035 (a) It is the intent of the Legislature in enacting this section …
§ 1385.04 (a) For large group health care service plan contracts, all …
§ 1385.043 (a) A health care service plan, not including a specialized …
§ 1385.045 (a) For large group health care service plan contracts, a health …
§ 1385.046 (a) Upon receiving notice of a rate change, a large group …
§ 1385.05 Notwithstanding any provision in a contract between a health care …
§ 1385.06 (a) A filing submitted under this article shall be actuarially …
§ 1385.07 (a) Notwithstanding Division 10 (commencing with Section …
§ 1385.08 (a) On or before July 1, 2012, the director may issue guidance …
§ 1385.09 A health care service plan contract subject to Section 1385.03 or …
§ 1385.10 (a) (1) A health care service plan shall annually provide …
§ 1385.11 (a) Whenever it appears to the department that any person has …
§ 1385.13 The department shall do all of the following in a manner consistent …
§ 1385.14 (a) This section shall apply only to a health care service plan …

Terms Used In California Codes > Health and Safety Code > Division 2 > Chapter 2.2 > Article 6.2 - Review of Rate Increases

  • Basic health care services: includes ambulance and ambulance transport services provided through the "911" emergency response system. See California Health and Safety Code 1345
  • Contract: A legal written agreement that becomes binding when signed.
  • County: includes city and county. See California Health and Safety Code 14
  • Damages: Money paid by defendants to successful plaintiffs in civil cases to compensate the plaintiffs for their injuries.
  • 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
  • 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
  • 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
  • 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
  • specialized health care service plan: means either of the following:

    California Health and Safety Code 1345

  • Specialized health care service plan contract: means a contract for health care services in a single specialized area of health care, including dental care, for subscribers or enrollees, or which pays for or which reimburses any part of the cost for those services, in return for a prepaid or periodic charge paid by or on behalf of the subscribers or enrollees. See 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
  • Trustees: means the Trustees of the California State University and their designees. See California Public Contract Code 10701