Section 1366.2 Of Article 4. Solicitation And Enrollment From California Health And Safety Code >> Division 2. >> Chapter 2.2. >> Article 4.
1366.2
. (a) A full health care service plan shall make available to
a group subscriber, upon request, the termination date of all major
health care provider contracts that are for services in the
geographic area for which the group subscriber has secured coverage
and that include a specified termination date.
(b) For purposes of this section, the following terms have the
following meanings:
(1) "Enrollee" means a person who is enrolled in a health care
service plan and who is a recipient of services from the plan.
(2) "Full health care service plan" means a plan that meets the
definition set forth in subdivision (f) of Section 1345, and that has
a total enrolled membership exceeding 499,999 enrollees.
(3) "Hospital" means a general acute care hospital.
(4) "Major health care provider contract" means a contract between
a full service plan and provider group or hospital covering more
than 25,000 of that plan's enrollees. "Major health care provider
contract" does not mean a provider contract between a specialized
health care service plan and a provider group or hospital.
(5) "Provider group" means a medical group, independent practice
association, or other similar group of providers with a total
enrolled membership exceeding 99,999 enrollees.