California · Health and Safety Code - HSC

HSC §1389.3: No health care service plan shall engage in the practice of postclaims underwriting.

What this law says, in plain English

Health care service plans are prohibited from engaging in postclaims underwriting, which involves reviewing and denying coverage after a claim is submitted.

Read the full statutory text

No health care service plan shall engage in the practice of postclaims underwriting. For purposes of this section, “postclaims underwriting” means the rescinding, canceling, or limiting of a plan contract due to the plan’s failure to complete medical underwriting and resolve all reasonable questions arising from written information submitted on or with an application before issuing the plan contract. This section shall not limit a plan’s remedies described in subdivision (a) of Section 1389.21.

Verify at the official source: California legislative text

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This page is legal information, not legal advice. Code text is sourced from official publications and may lag amendments — always confirm at the official source linked above. Plain-English summaries and relationship data are AI-derived and reviewed on an ongoing basis; verify with a licensed attorney before acting.