SB 1176, as introduced, Steinberg. Health care coverage: consumer notice.
Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans by the Department of Managed Health Care. Existing law provides for the regulation of health insurers by the Department of Insurance. Existing law requires a plan or insurer to provide certain disclosures of the benefits, services, and terms of a contract or policy.
This bill would declare the intent of the Legislature to enact legislation that would require private health care service plans and health insurance companies to notify a consumer when that individual has achieved the maximum limits related to his or her copay, coinsurance, and deductible as stipulated in the consumer’s contract.
Vote: majority. Appropriation: no. Fiscal committee: no. State-mandated local program: no.
The people of the State of California do enact as follows:
It is the intent of the Legislature to enact
2legislation that would require private health care service plans and
3health insurance companies to notify a consumer when that
4individual has achieved the maximum limits related to his or her
P2 1copay, coinsurance, and deductible as stipulated in the consumer’s
2contract.
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