Section 10752.4 - Prohibited provisions in policies issued, reissued or renewed on or after January 1, 2016A 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.Added by Stats 2013 ch 443 (SB 161),s 1, eff. 1/1/2014.