Section 2698.604 - Excess State Liability in the Pilot Program(a) The Board shall determine at least semiannually at a public meeting of the Board, the viability of the Major Risk Medical Insurance Fund, or other funding sources made available to the Board to make interim semiannual or final annual payments to Pilot Program health plans.(b) If the Board determines that funds for the Pilot Program or for payments beyond the term of the Pilot Program are in a state of excess liability, the Board shall notify the Department of Managed Health Care, the Department of Insurance, and all Pilot Program health plans known to the Board, of the state of excess liability, within 30 days of the determination. The notification shall include a determination of the allowable premium rates change that may be charged to program graduates, to the amount the Board would charge without a state subsidy for the applicable standard benefit plan within the Major Risk Medical Insurance Program. Pilot Program health plans shall be allowed to charge these rates, consistent with the policies and procedures for rate increase notifications of the state department (either Department of Managed Health Care or Department of Insurance) which regulates the Pilot Program health plan.Cal. Code Regs. Tit. 10, § 2698.604
1. New section filed 8-4-2003 as an emergency; operative 8-4-2003 (Register 2003, No. 32). Amendments to remain in effect for 180 days pursuant to section 21, chapter 794, Statutes of 2002 (AB 1401). A Certificate of Compliance must be transmitted to OAL by 2-2-2004 or emergency language will be repealed by operation of law on the following day.
2. Certificate of Compliance as to 8-4-2003 order transmitted to OAL 1-23-2004 and filed 3-1-2004 (Register 2004, No. 10). Note: Authority cited: Section 1373.62, Health and Safety Code; and Sections 10127.15, 12711 and 12712, Insurance Code. Reference: Sections 1373.62 and 1373.622, Health and Safety Code; and Sections 10127.15, 10127.16, 12711 and 12712, Insurance Code.
1. New section filed 8-4-2003 as an emergency; operative 8-4-2003 (Register 2003, No. 32). Amendments to remain in effect for 180 days pursuant to section 21, chapter 794, Statutes of 2002 (AB 1401). A Certificate of Compliance must be transmitted to OAL by 2-2-2004 or emergency language will be repealed by operation of law on the following day.
2. Certificate of Compliance as to 8-4-2003 order transmitted to OAL 1-23-2004 and filed 3-1-2004 (Register 2004, No. 10).