Earlier editions: 2020-112018-11
DIVISION 2. CLASSES OF INSURANCE 1880-12880.8›PART 2. LIFE AND DISABILITY INSURANCE 10110-11549›CHAPTER 8. Small Employer Health Insurance 10700-10752.8›ARTICLE 5. Stop-Loss Insurance 10752-10752.8
§ 10752.4
California Insurance Code · 2026 edition · updated 2026-10-04 · California
A stop-loss insurance policy issued, reissued, or renewed on or after January 1, 2016, to a small employer shall not contain any of the following provisions:
(a) An individual attachment point for a policy year that is less than forty thousand dollars ($40,000).
(b) An aggregate attachment point for a policy year that is less than the greater of one of the following:
(1) Five thousand dollars ($5,000) times the total number of group members.
(2) One hundred twenty percent of expected claims.
(3) Forty thousand dollars ($40,000).
(c) A provision for direct coverage of an employee or dependent of an employee.
(Added by Stats. 2013, Ch. 443, Sec. 1. (SB 161) Effective January 1, 2014.)
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