28 CA ADC § 1300.67.05


      28 CCR s 1300.67.05

      Cal. Admin. Code tit. 28, s 1300.67.05


      CALIFORNIA CODE OF REGULATIONS
      TITLE 28. MANAGED HEALTH CARE
      DIVISION 1. THE DEPARTMENT OF MANAGED HEALTH CARE
      CHAPTER 2. HEALTH CARE SERVICE PLANS
      ARTICLE 7. STANDARDS
      This database is current through 06/09/06, Register 2006, No. 23.

      s 1300.67.05. Acts of War Exclusions.

      (a) No health care service plan contract executed or amended on or after 
      the effective date of this regulation shall limit or exclude health care 
      services based on a determination that the need for the health care 
      service arose as a result of an Act of War.

      (1) The term "contract" includes but is not limited to health care service 
      plan contracts with subscribers and health care service providers.

      (2) The term "Act of War" includes any act or conduct, or the prevention 
      of an act or conduct, resulting from war, declared or undeclared, 
      terrorism, or warlike action by any individual, government, military, 
      sovereign group, terrorist or other organization.

      (b) This regulation does not preclude a health plan from coordinating 
      coverage of benefits with other entities.

      (c) Nothing in this section shall prevent the Director from finding any 
      exclusion or limitation of health care service or other services covered 
      by the contract objectionable on grounds other than those set forth 
herein.


      


      Note: Authority cited: Section 1344, Health and Safety Code. Reference: 
      Sections 1345 and 1367, Health and Safety Code. 


       HISTORY 
         
      1. New section filed 2-14-2002 as an emergency; operative 2-14-2002 
      (Register
      2002, No. 7). A Certificate of Compliance must be transmitted to OAL by 6-
      14-2002 or emergency language will be repealed by operation of law on the
      following day.

      2. Certificate of Compliance as to 2-14-2002 order, including amendment of
      subsection (a), transmitted to OAL 6-6-2002 and filed 7-17-2002 (Register
      2002, No. 29).

      3. Editorial correction of subsection (a) (Register 2002, No. 35).
      28 CA ADC s 1300.67.05

      END OF DOCUMENT

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