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California Code, Insurance Code - INS § 10752.4

Current as of January 01, 2025 | Updated by Findlaw Staff

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.

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Cite this article: FindLaw.com - California Code, Insurance Code - INS § 10752.4 - last updated January 01, 2025 | https://codes.findlaw.com/ca/insurance-code/ins-sect-10752-4/

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