Section 1399.61 Of Article 10. Discontinuance And Replacement Of Group Health Care Service Plan Contracts From California Health And Safety Code >> Division 2. >> Chapter 2.2. >> Article 10.
1399.61
. In this article, unless the context otherwise requires:
(a) "Carrier" shall mean the health care service plan or other
entity responsible for the payment of benefits or provision of
services under a group contract.
(b) "Dependent" shall have the meaning set forth in a contract.
(c) "Discontinuance" shall mean the termination of the contract
between the entire employer unit under a contract and the health care
service plan, and does not refer to the termination of any agreement
between any individual member under a contract and the health care
service plan.
(d) "Employee" shall mean all agents, employees, and members of
unions or associations to whom benefits are provided under a
contract.
(e) "Extension of benefits" shall mean the continuation of
coverage under a particular benefit provided under a contract
following discontinuance with respect to an employee or dependent who
is totally disabled on the date of discontinuance.
(f) "Contract" shall mean any group health care service plan or
contract subject to the provisions of this article.
(g) "Contractholder" shall mean the entity to which a contract is
issued.
(h) "Dues" shall mean the consideration payable to the carrier.
(i) "Replacement coverage" shall mean the benefits provided by a
succeeding carrier.
(j) "Totally disabled" shall have the meaning set forth in a
contract.