SECTIONS 12696.7-12697.15 - California Statutes

INSURANCE CODE

SECTION 12696.7-12697.15

12696.7. (a) The board may contract with a variety of health plans
and types of health care service delivery systems in order to offer
subscribers a choice of plans, providers, and types of service
delivery.
(b) Participating health plans contracting with the board pursuant
to this part shall provide benefits or coverage to subscribers only
as determined by the board pursuant to subdivision (b) of Section
12696.05.

12697. The board may negotiate or arrange for stop-loss insurance
coverage that limits the program's fiscal responsibility for the
total costs of health services provided to program subscribers, or
arrange for participating health plans to share or assume the
financial risk for a portion of the total cost of health care
services to program subscribers, or both.

12697.10. (a) The board shall include, within contracts negotiated
pursuant to this part, terms regarding the cancellation of the
contracts, and may cancel any contract negotiated pursuant to this
part with any participating health plan as provided for in the
contract.
(b) The board shall provide for the transfer of coverage of any
subscriber to another participating health plan if a contract with
any participating health plan under which the subscriber receives
coverage is canceled or not renewed.

12697.15. (a) Each participating health plan contracting with the
board pursuant to this part shall provide health education services
related to tobacco use to all program participants.
(b) The education activities required by subdivision (a) shall
include all of the following:
(1) Dissuading persons from beginning to smoke.
(2) Encouraging smoking cessation.
(3) Providing information on the health effects of tobacco use on
the user, children, and nonsmokers.