California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 2 - Policy Forms and Other Documents › Article 1 - Document Submission and Approval Procedures; Fees › Section 2201 - Definitions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
As used in this Article:
(a) "Document" includes but is not limited to
				  every form of contract, insurance policy, application, enrollment form, rider,
				  endorsement, amendment, insert policy page, certificate or other evidence or
				  notice of insurance, report and other filing pertaining to health insurance,
				  statement of variability, schedule of rates and classification of risks except
				  for workers' compensation insurance, actuarial memorandum, advertisement, and
				  any modification thereto, which is required by law to be filed or approved and
				  which pertains to coverages defined in Ins. C. §§
										101,
				  106 and
				  109.
(b) "Fee" means the fee charged by the
				  Commissioner for the filing or approval of documents subject to this
				  Article.
(c) "Application" means a
				  document used to apply for or request individual or group insurance coverage
				  which contains medical or economic questions designed to determine the rating
				  class or the eligibility for coverage of one or more persons and which is not
				  an "enrollment" form. This definition shall not apply to "application" as it
				  may be used in any other statute or regulation.
(d) "Enrollment Form" means a document used
				  to apply for or request individual or group insurance coverage which contains
				  no questions about an individual's health status or eligibility for coverage
				  except that it may inquire about age, family status, dependency or current or
				  past employment. A document to be used by a master-policy-holder to apply for
				  or request group insurance is an "enrollment form" for the purposes of these
				  regulations, provided that no information concerning the health of any persons
				  to be covered is solicited. This definition shall not be used to interpret the
				  word "enrollment form" as it may be used in any other statute or
				  regulation.
(e) "Rider" or "insert
				  page" means a document of one or more pages, identified by a single form
				  number, which is physically added to or inserted into another document, such as
				  a policy, certificate, application or other rider. For purposes of this
				  Article, the term "rider" includes endorsements.
(f) "Text cell" means a block of text not to
				  exceed one paragraph in length, which is identified by a form number and which
				  is printed with other similarly-identified blocks of text to comprise documents
				  such as policies and certificates. A text cell exceeding one paragraph in
				  length or a list of words or phrases to be inserted into a waiver rider is
				  considered to be a "rider" or an "insert page." "Text cell" filings are not
				  permitted.
(g) "Statement of
				  Variability" means a document which sets forth variable content. Variable
				  content is described in §
										2213 of this Article.
1. Amendment
					 of subsection (a), new subsections (c)-(f) and repealer and new NOTE filed
					 8-26-96 as an emergency; operative 9-3-96 (Register 96, No. 35). A Certificate
					 of Compliance must be transmitted to OAL by 1-2-97 or emergency language will
					 be repealed by operation of law on the following day.
2. Certificate
					 of Compliance as to 8-26-96 order, including amendment of NOTE, transmitted to
					 OAL 12-27-96 and filed 2-11-97 (Register 97, No. 7).
3. Amendment of
					 subsections (a) and (d)-(f), new subsection (g) and amendment of NOTE filed
					 2-4-2016; operative 4-1-2016 (Register 2016, No.
					 6).
Note: Authority cited: Sections
						742.43,
						779.21,
						10168.92,
						10192.3,
						10234,
						10292,
						10327,
						10506,
						10506.3,
						10704,
						12921.6 and
						12973.9,
						Insurance Code. Reference: Sections
						742.42,
						779.8,
						795.5,
						1320,
						9080.1,
						10112.5,
						10113.95(c),
						10123.36,
						10123.135,
						10123.137(d),
						10133.5,
						10163.35,
						10168.93,
						10181.3,
						10192.13(a)(7),
						10192.14(b)(1),
						10192.15,
						10192.19,
						10192.22,
						10198.61,
						10205,
						10225,
						10231.2,
						10231.6,
						10232,
						10234.9,
						10234.93,
						10234.97,
						10236.11,
						10236.13,
						10270,
						10270.1,
						10270.2,
						10270.3,
						10270.5,
						10270.507,
						10270.57,
						10270.9,
						10270.93,
						10271,
						10271.1,
						10290,
						10292,
						10295.2,
						10436,
						10506,
						10705,
						10717,
						10753.05,
						10753.17,
						11011,
						11027,
						11029,
						11066,
						11069,
						11522,
						11658,
						12250,
						12921.6 and
						12973.9,
						Insurance Code.