Section 22853 Of Article 6. Health Benefit Plans And Contracts From California Government Code >> Division 5. >> Title 2. >> Part 5. >> Chapter 1. >> Article 6.
22853
. (a) Each contract shall contain a detailed statement of
benefits offered and shall include maximums, limitations, exclusions,
and other definitions of benefits as the board deems necessary or
desirable.
(b) Except as otherwise provided by this part, a health benefit
plan or contract may not exclude any person on account of physical
condition, age, race, or other status. Except as otherwise provided
by this part, transfer of enrollment to a health benefit plan shall
be open to all employees and annuitants in accordance with Section
22841.
(c) A health benefit plan or contract shall offer to each employee
or annuitant whose enrollment in the plan is terminated other than
by cancellation of enrollment, voluntary separation from employment,
or dismissal from employment for cause, the option to convert to an
individual health benefits policy, without regard to health status,
but within the time limit approved by the board. An employee or
annuitant that exercises this option shall pay the full periodic
charges of the individual policy according to the terms and
conditions prescribed by the carrier and approved by the board.
(d) A health benefit plan or contract shall provide grievance
procedures to protect the rights of employees and annuitants.
(e) The board shall provide a sufficient number of health benefit
plans that provide chiropractic services so that every employee and
annuitant has a reasonable opportunity to enroll in a health benefit
plan that provides chiropractic services without prior referral by a
physician.