reglab/housing_qa huggingface dataset:
CA Ins Code § 10841 (2021)
2021 California Code|Insurance Code - INS|DIVISION 2 - CLASSES OF INSURANCE|PART 2 - LIFE AND DISABILITY INSURANCE|CHAPTER 9 - The Private Health Care Voluntary Purchasing Alliance Act|ARTICLE 5 - Additional Powers of and Restrictions on Purchasing Alliances|Section 10841.

10841.  (a) A purchasing alliance shall comply with all requirements pertaining to the underwriting, rating and renewal practices for small employers, pursuant to subdivisions (a) and (b) of Section 1357.12 of , and subdivision (f) of Section 1357.03 of, the Health and Safety Code, and subdivisions (a) and (b) of Section 10714.(b) A purchasing alliance shall comply with all requirements pertaining to the marketing practices for small employers who participate in the purchasing alliance, pursuant to subdivision (d) of Section 1357.03 of the Health and Safety Code and subdivisions (f) and (j) of Section 10705.(c) A purchasing alliance shall comply with all requirements pertaining to the participation requirements for small employers who participate in the purchasing alliance, pursuant to subdivision (b) of Section 1357.03 of the Health and Safety Code and Section 10706. A carrier participating in a purchasing alliance shall be deemed to be in compliance with this requirement.(Amended by Stats. 1999, Ch. 83, Sec. 127. Effective January 1, 2000.)
CA Ins Code § 10842 (2021)
2021 California Code|Insurance Code - INS|DIVISION 2 - CLASSES OF INSURANCE|PART 2 - LIFE AND DISABILITY INSURANCE|CHAPTER 9 - The Private Health Care Voluntary Purchasing Alliance Act|ARTICLE 5 - Additional Powers of and Restrictions on Purchasing Alliances|Section 10842.

10842.  A purchasing alliance may do any of the following:(a) Contract with qualified independent third parties for any services necessary to carry out the powers and duties authorized or required by this chapter.(b) Employ necessary staff.(c) Sue or be sued, including taking any legal actions necessary or proper for recovering any penalties for or on behalf of the health insurance purchasing group.(d) Allow a participating employer to choose the benefit plan design, from those offered by the purchasing alliance, to be made available to their eligible employees.(e) Allow eligible employees to enroll in any benefit plan design offered by the purchasing alliance.(f) Contract with licensed insurance agents or brokers to market and service coverage made available through the purchasing alliance to its members. Compensation for agents and brokers may not vary based on the small employer or his or her enrollees and dependents’ actual or expected health status, industry, occupation, medical utilization, claims experience, or geographic location within the service region. This subdivision shall not apply with respect to a compensation arrangement that provides compensation to an agent or broker on the basis of percentage of premium; provided that percentage shall not vary because of the health status, industry, occupation, medical utilization, claims experience, or geographic location within the service region.(g) Exclude a carrier or freeze enrollment in a carrier for failure to achieve established quality, access, or information reporting standards of the purchasing alliance.(Added by Stats. 1996, Ch. 916, Sec. 1. Effective January 1, 1997.)
CA Ins Code § 10843 (2021)
2021 California Code|Insurance Code - INS|DIVISION 2 - CLASSES OF INSURANCE|PART 2 - LIFE AND DISABILITY INSURANCE|CHAPTER 9 - The Private Health Care Voluntary Purchasing Alliance Act|ARTICLE 5 - Additional Powers of and Restrictions on Purchasing Alliances|Section 10843.

10843.  A purchasing alliance shall not do any of the following:(a) Purchase health care services, assume risk for the cost or provision of health services, or otherwise contract with health care providers for the provision of health care services directly to enrollees.(b) Exclude a small employer or eligible employee or dependent of an eligible employee of a small employer from membership in the purchasing alliance who agrees to pay fees for membership and the premium for coverage through the purchasing alliance and who abides by the bylaws and rules of the purchasing alliance.(c) Prohibit the participation of small employers, as described in subdivision (a) of Section 1357.03 of the Health and Safety Code and in subdivision (b) of Section 10705, or utilize risk adjustment practices that conflict with the small employer group health provisions described in subdivisions (a) and (b) of Section 1357.12 of the Health and Safety Code and subdivision (b) of Section 10714.(d) Charge a fee not directly related to the operation of the purchasing alliance.(e) As a condition of participation, require an employer or small employer, eligible employee or dependent to subscribe to nonhealth care or nonhealth insurance related products or services.(f) Operate the purchasing alliance or market the purchasing alliance in a service region in a way that would cause the purchasing alliance to select a risk pool with health care utilization that is significantly below the average for all similar groups with similar coverage in the same region.(g) Engage in any competitive act or practice that results in the selection of small employers and his or her enrollees and dependents based on actual or expected health status, claims experience, medical utilization, industry, occupation, or geographic location within the service region.(h) Require or take any action inconsistent or in conflict with state laws or regulations.(Added by Stats. 1996, Ch. 916, Sec. 1. Effective January 1, 1997.)
CA Ins Code § 10844 (2021)
2021 California Code|Insurance Code - INS|DIVISION 2 - CLASSES OF INSURANCE|PART 2 - LIFE AND DISABILITY INSURANCE|CHAPTER 9 - The Private Health Care Voluntary Purchasing Alliance Act|ARTICLE 5 - Additional Powers of and Restrictions on Purchasing Alliances|Section 10844.

10844.  A purchasing alliance may offer coverage pursuant to Chapter 9.5 (commencing with Section 10900).(Added by Stats. 2000, Ch. 810, Sec. 4. Effective January 1, 2001.)
CA Ins Code § 10845 (2021)
2021 California Code|Insurance Code - INS|DIVISION 2 - CLASSES OF INSURANCE|PART 2 - LIFE AND DISABILITY INSURANCE|CHAPTER 9 - The Private Health Care Voluntary Purchasing Alliance Act|ARTICLE 5 - Additional Powers of and Restrictions on Purchasing Alliances|Section 10845.

10845.  (a) The commissioner shall require every purchasing alliance, as a condition precedent to receiving and holding a certificate of registration, to file and maintain in the commissioner’s office a writing designating an agent for service of process. The writing shall state the name of the agent and his or her place of business in this state with sufficient particularity so that he or she can readily be found by peace officers or process servers. Appointment of the agent reasonably available for service of papers, notice, proof of loss, summons or other process during business hours shall be continuously maintained by every registered purchasing alliance subject to this article while it holds a valid and unrevoked certificate of registration.(b) An agent designated by a purchasing alliance as provided in this article may file with the commissioner a written statement of resignation as that agent, which shall be signed and execution thereof shall be duly acknowledged by the agent. Thereupon, the authority of the agent to act in such capacity shall cease and the commissioner shall forthwith give written notice of the resignation by mail to the purchasing alliance addressed to its principal office as shown by the commissioner’s records. If an agent who has been appointed by a purchasing alliance as provided by this article dies or resigns or removes his or her residence from the state, the purchasing alliance shall forthwith file with the commissioner an appointment of a new agent on a form provided by the commissioner for such purpose and pay the filing fee therefor, and the filing shall be deemed to revoke any prior designation of agent.(c) No fee shall be charged, except as included in the application for certificate of registration fee provided in this article, for filing the initial appointment under this article by an applicant for registration. Thereafter the commissioner shall require the payment of forty-five dollars ($45) in advance as a fee for filing appointment of agent or stipulation or both by every registered purchasing alliance.(Added by Stats. 1996, Ch. 916, Sec. 1. Effective January 1, 1997.)
CA Ins Code § 10850 (2021)
2021 California Code|Insurance Code - INS|DIVISION 2 - CLASSES OF INSURANCE|PART 2 - LIFE AND DISABILITY INSURANCE|CHAPTER 9 - The Private Health Care Voluntary Purchasing Alliance Act|ARTICLE 6 - Participating Carriers|Section 10850.

10850.  (a) In order to be eligible to be a participating carrier, a carrier shall demonstrate the following operating characteristics satisfactory to the board:(1) Be licensed and approved as a carrier and in good standing with the appropriate regulatory authority.(2) The ability to provide data required by the board, including information on enrollee satisfaction based on standard surveys, as may be prescribed, and to meet reasonable satisfaction measures as may be established.(3) The ability to provide standard data elements in a manner prescribed by the board.(4) All other criteria established by the board.(b) Carriers that contract with or employ health care providers shall have mechanisms to accomplish all of the following in a manner satisfactory to the purchasing alliance, provided that the requirements of the alliance do not conflict with the carrier’s licensing requirements:(1) Review the quality of care covered.(2) Review the appropriateness of care covered.(3) Provide accessible health care services.(c) In evaluating which carriers may participate in the purchasing alliance, the board shall consider all of the following:(1) Minimum geographic service and participation requirements, maximum thresholds for premium rates, and standards for determining whether a carrier operates efficiently.(2) The ability of a carrier to provide services within the purchasing alliance service regions.(3) Pricing and the competitiveness of each bid from a carrier.(Added by Stats. 1996, Ch. 916, Sec. 1. Effective January 1, 1997.)
CA Ins Code § 10851 (2021)
2021 California Code|Insurance Code - INS|DIVISION 2 - CLASSES OF INSURANCE|PART 2 - LIFE AND DISABILITY INSURANCE|CHAPTER 9 - The Private Health Care Voluntary Purchasing Alliance Act|ARTICLE 6 - Participating Carriers|Section 10851.

10851.  Every participating carrier shall:(a) Meet the standards established by the board pursuant to this chapter.(b) Provide any data required by the board.(c) Comply with, all applicable laws and regulations that regulate health care coverage or medical benefits provided to employers, including, with respect to coverage that is provided to small employers, Chapter 8 (commencing with Section 10700) for insurers and Article 3.1 (commencing with Section 1357) of Chapter 2.2 of Division 2 of the Health and Safety Code for health care service plans. However, a carrier contracting to participate in a purchasing alliance shall be deemed to be in compliance with the requirements for small employers of subdivision (a) of Section 1357.03 of the Health and Safety Code and of subdivisions (b) and (c) of Section 10705 for a benefit plan design offered through the purchasing alliance in those service regions in which the carrier participates in the purchasing alliance and the benefit plan design is offered exclusively through the purchasing alliance.(d) Comply with all rules and regulations regarding the application of risk adjustment factors to standard risk rates for small employers as specified in subdivisions (a) and (b) of Section 1357.12 of the Health and Safety Code and subdivisions (a) and (b) of Section 10714 of this code. A participating carrier shall also comply with the requirements that coverage be issued to small employers on a guaranteed issue basis as is specified in subdivision (a) of Section 1357.03 of the Health and Safety Code and subdivision (b) of Section 10705 of this code for small employers.(e) All participating medical carriers shall, in determining small employer rates for health benefit plans offered through a purchasing alliance, use the six service regions established by this chapter in determining risk categories for standard employee risk rates.(f) Enroll and disenroll individuals as directed by the purchasing alliance or its designee.(g) Comply with any other requirement established by the board pursuant to this chapter.(Added by Stats. 1996, Ch. 916, Sec. 1. Effective January 1, 1997.)
CA Ins Code § 10853 (2021)
2021 California Code|Insurance Code - INS|DIVISION 2 - CLASSES OF INSURANCE|PART 2 - LIFE AND DISABILITY INSURANCE|CHAPTER 9 - The Private Health Care Voluntary Purchasing Alliance Act|ARTICLE 6 - Participating Carriers|Section 10853.

10853.  In contracts with participating carriers, the purchasing alliance may establish performance standards for specific contractual elements and penalties for failure to fulfill specific contractual obligations.(Added by Stats. 1996, Ch. 916, Sec. 1. Effective January 1, 1997.)
CA Ins Code § 10854 (2021)
2021 California Code|Insurance Code - INS|DIVISION 2 - CLASSES OF INSURANCE|PART 2 - LIFE AND DISABILITY INSURANCE|CHAPTER 9 - The Private Health Care Voluntary Purchasing Alliance Act|ARTICLE 6 - Participating Carriers|Section 10854.

10854.  Nothing in this chapter shall prohibit a participating carrier from contracting with particular health care providers or types, classes, or categories of health care providers or setting reimbursement methodology.(Added by Stats. 1996, Ch. 916, Sec. 1. Effective January 1, 1997.)
CA Ins Code § 10855 (2021)
2021 California Code|Insurance Code - INS|DIVISION 2 - CLASSES OF INSURANCE|PART 2 - LIFE AND DISABILITY INSURANCE|CHAPTER 9 - The Private Health Care Voluntary Purchasing Alliance Act|ARTICLE 6 - Participating Carriers|Section 10855.

10855.  In the event the participating carrier elects to terminate its participating agreement with a purchasing alliance, the participating carrier shall do both of the following:(a) Provide advance notice of its decision to the board.(b) Provide notice of the decision at least 180 days prior to the nonrenewal of any health benefit plan or ancillary benefit plan to employers or small employers and enrollees.A participating carrier that elects not to renew a health benefit plan with a purchasing alliance shall be prohibited from writing new business through the purchasing alliance for a period of three years from the date of the notice to the purchasing alliance or until the purchasing alliance, with the concurrence of the commissioner, invites the former participating carrier to renew participation, whichever is sooner.(Added by Stats. 1996, Ch. 916, Sec. 1. Effective January 1, 1997.)
CA Ins Code § 10856 (2021)
2021 California Code|Insurance Code - INS|DIVISION 2 - CLASSES OF INSURANCE|PART 2 - LIFE AND DISABILITY INSURANCE|CHAPTER 9 - The Private Health Care Voluntary Purchasing Alliance Act|ARTICLE 6 - Participating Carriers|Section 10856.

10856.  Nothing in this article shall be construed to limit the existing regulatory authority of the Department of Managed Health Care to regulate health care service plans or of the Department of Insurance to regulate disability or life insurers or hospital service plans. None of the requirements of this article shall conflict with the participating carrier’s licensing requirements.(Amended by Stats. 2000, Ch. 857, Sec. 72. Effective January 1, 2001.)
CA Ins Code § 10860 (2021)
2021 California Code|Insurance Code - INS|DIVISION 2 - CLASSES OF INSURANCE|PART 2 - LIFE AND DISABILITY INSURANCE|CHAPTER 9 - The Private Health Care Voluntary Purchasing Alliance Act|ARTICLE 7 - Contracts with Employers, Small Employers, and Participating Carriers|Section 10860.

10860.  Contracts between the purchasing alliance and participating carriers shall specify how all premiums will be transmitted, and penalties and grace periods for payments.(Added by Stats. 1996, Ch. 916, Sec. 1. Effective January 1, 1997.)
CA Ins Code § 10861 (2021)
2021 California Code|Insurance Code - INS|DIVISION 2 - CLASSES OF INSURANCE|PART 2 - LIFE AND DISABILITY INSURANCE|CHAPTER 9 - The Private Health Care Voluntary Purchasing Alliance Act|ARTICLE 7 - Contracts with Employers, Small Employers, and Participating Carriers|Section 10861.

10861.  Contracts between purchasing alliances and participating employers shall provide all of the following:(a) For administrative purposes, the purchasing alliance shall be the policyholder or contractholder of the health benefit plan or ancillary benefit plan on behalf of participating employers, their eligible employees, and dependents.(b) That the participating carrier will issue a certificate of coverage, or equivalent document, specifying the essential features of the health benefit plan’s or ancillary benefit plan’s coverage to each enrolled eligible employee.(c) The following notice shall be provided to employers, small employers, and eligible employees who obtain coverage from a purchasing alliance at the time of enrollment:NOTICE(1) THE PURCHASING ALLIANCE IS NOT AN INSURANCE COMPANY AND DOES NOT PAY BENEFITS OR CLAIMS. IT COLLECTS AND DISTRIBUTES PREMIUMS IN YOUR EMPLOYER’S BEHALF TO INSURERS WHO MAY PARTICIPATE IN A GUARANTEE FUND CREATED BY CALIFORNIA LAW. THE ALLIANCE ITSELF DOES NOT PARTICIPATE IN A GUARANTEE FUND CREATED BY CALIFORNIA LAW.(2) THE PURCHASING ALLIANCE WHICH YOUR EMPLOYER HAS JOINED IS REGISTERED BY THE CALIFORNIA DEPARTMENT OF INSURANCE TO PROVIDE SPECIFIC ADMINISTRATIVE SERVICES AND MAY NOT ASSUME ANY RISK FOR CLAIM AND BENEFIT PAYMENTS.(3) FOR ADDITIONAL INFORMATION ABOUT THE PURCHASING ALLIANCE YOU SHOULD ASK QUESTIONS OF YOUR BENEFITS ADMINISTRATOR OR YOU MAY CONTACT THE CALIFORNIA DEPARTMENT OF INSURANCE AT 1-800-927-4356.(Added by Stats. 1996, Ch. 916, Sec. 1. Effective January 1, 1997.)
CA Ins Code § 10870 (2021)
2021 California Code|Insurance Code - INS|DIVISION 2 - CLASSES OF INSURANCE|PART 2 - LIFE AND DISABILITY INSURANCE|CHAPTER 9 - The Private Health Care Voluntary Purchasing Alliance Act|ARTICLE 8 - Marketing|Section 10870.

10870.  The board shall establish marketing standards to be used by participating carriers.(Added by Stats. 1996, Ch. 916, Sec. 1. Effective January 1, 1997.)
CA Ins Code § 10871 (2021)
2021 California Code|Insurance Code - INS|DIVISION 2 - CLASSES OF INSURANCE|PART 2 - LIFE AND DISABILITY INSURANCE|CHAPTER 9 - The Private Health Care Voluntary Purchasing Alliance Act|ARTICLE 8 - Marketing|Section 10871.

10871.  Any marketing, advertisement, or educational material for health benefit plans or ancillary benefit plans sold through the purchasing alliance shall be approved by the board prior to its use.(Added by Stats. 1996, Ch. 916, Sec. 1. Effective January 1, 1997.)
CA Ins Code § 10872 (2021)
2021 California Code|Insurance Code - INS|DIVISION 2 - CLASSES OF INSURANCE|PART 2 - LIFE AND DISABILITY INSURANCE|CHAPTER 9 - The Private Health Care Voluntary Purchasing Alliance Act|ARTICLE 8 - Marketing|Section 10872.

10872.  This article shall not be construed to prohibit or to compel the purchasing alliance or a participating carrier from using the services of an agent or broker.(Added by Stats. 1996, Ch. 916, Sec. 1. Effective January 1, 1997.)
CA Ins Code § 10873 (2021)
2021 California Code|Insurance Code - INS|DIVISION 2 - CLASSES OF INSURANCE|PART 2 - LIFE AND DISABILITY INSURANCE|CHAPTER 9 - The Private Health Care Voluntary Purchasing Alliance Act|ARTICLE 8 - Marketing|Section 10873.

10873.  (a) A participating carrier, agent, broker, contractor, or producer of a participating carrier, or independent insurance agent, broker, contractor, or producer may not engage, directly or indirectly, in an activity or marketing practice that would encourage small employers or eligible enrollees to do any of the following:(1) Refrain from enrolling in a health benefit plan offered through the purchasing alliance because of their health status, claims experience, industry, occupation, or geographic location within the service region.(2) Seek coverage from other participating carriers because of their health status, claim experience, industry, occupation, or geographic location within the service region.(3) Enroll or fail to enroll in the purchasing alliance because of their health status, claims experience, industry, occupation, or geographic location within the service region.(b) In the event that an agent, broker, contractor, carrier, or producer of a participating carrier fails to abide by these provisions, they shall be subject to the penalties and fines described in Section 10718.(Added by Stats. 1996, Ch. 916, Sec. 1. Effective January 1, 1997.)
CA Ins Code § 10880 (2021)
2021 California Code|Insurance Code - INS|DIVISION 2 - CLASSES OF INSURANCE|PART 2 - LIFE AND DISABILITY INSURANCE|CHAPTER 9 - The Private Health Care Voluntary Purchasing Alliance Act|ARTICLE 9 - Solvency|Section 10880.

10880.  In the event a purchasing alliance becomes insolvent, the commissioner shall maintain jurisdiction of the alliance for purposes of protection of the interests of the alliance enrollees. In that event, the commissioner may do any of the following:(a) Arrange for transfer of coverage from the insolvent purchasing alliance to one that is deemed to be solvent by the commissioner.(b) Arrange for individual employers or small employers participating in the purchasing alliance to obtain coverage through one or more participating carriers outside of an alliance arrangement.(c) Take any other actions necessary to preserve the coverage provided to employers, small employers, and enrollees in the insolvent alliance.(d) In any proceedings under this article, the costs of employing special deputy commissioners, clerks, or assistants appointed to carry out this article, and all expenses of taking possession of, conversing, conducting, liquidating, disposing of, or otherwise dealing with the business and property of the alliance under this article, shall be fixed by the commissioner, subject to the approval of the court, and shall be paid out of the assets of the alliance to the department.(Added by Stats. 1996, Ch. 916, Sec. 1. Effective January 1, 1997.)
CA Ins Code § 10885 (2021)
2021 California Code|Insurance Code - INS|DIVISION 2 - CLASSES OF INSURANCE|PART 2 - LIFE AND DISABILITY INSURANCE|CHAPTER 9 - The Private Health Care Voluntary Purchasing Alliance Act|ARTICLE 10 - Exemptions|Section 10885.

10885.  Purchasing alliances shall be exempt from requirements of licensure as a health care service plan or solicitor under Chapter 2.2 (commencing with Section 1340) of Division 2 of the Health and Safety Code.(Added by Stats. 1996, Ch. 916, Sec. 1. Effective January 1, 1997.)
CA Ins Code § 10886 (2021)
2021 California Code|Insurance Code - INS|DIVISION 2 - CLASSES OF INSURANCE|PART 2 - LIFE AND DISABILITY INSURANCE|CHAPTER 9 - The Private Health Care Voluntary Purchasing Alliance Act|ARTICLE 10 - Exemptions|Section 10886.

10886.  For purposes of carrier product disclosure, a purchasing alliance shall be considered an entity that provides administrative services, as is described in paragraph (1) of subdivision (d) of Section 10705. As such, a purchasing alliance shall not be required to provide a summary of those plans offered by participating carriers outside of the purchasing alliance with whom they have contracted. A purchasing alliance shall be required to provide a summary brochure of all benefit plan designs that the purchasing alliance offers to employers or small employers.(Added by Stats. 1996, Ch. 916, Sec. 1. Effective January 1, 1997.)