Section 1357.515 Of Article 3.16. Nongrandfathered Small Employer Plans From California Health And Safety Code >> Division 2. >> Chapter 2.2. >> Article 3.16.
1357.515
. (a) At least 20 business days prior to renewing or
amending a plan contract subject to this article which will be in
force on the operative date of this article, a plan shall file a
notice of material modification with the director in accordance with
the provisions of Section 1352. The notice of material modification
shall include a statement certifying that the plan is in compliance
with Section 1357.512. Any action by the director, as permitted under
Section 1352, to disapprove, suspend, or postpone the plan's use of
a plan contract shall be in writing, specifying the reasons that the
plan contract does not comply with the requirements of this chapter.
(b) At least 20 business days prior to offering a plan contract
subject to this article, all plans shall file a notice of material
modification with the director in accordance with the provisions of
Section 1352. The notice of material modification shall include a
statement certifying that the plan is in compliance with Section
1357.512. Plans that will be offering to a small employer plan
contracts approved by the director prior to the effective date of
this article shall file a notice of material modification in
accordance with this subdivision. Any action by the director, as
permitted under Section 1352, to disapprove, suspend, or postpone the
plan's use of a plan contract shall be in writing, specifying the
reasons that the plan contract does not comply with the requirements
of this chapter.
(c) Each plan shall maintain at its principal place of business
all of the information required to be filed with the director
pursuant to this section.
(d) Nothing in this section shall be construed to limit the
director's authority to enforce the rating practices set forth in
this article.