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HomeHealth and Safety CodeDiv. 2Ch. 2.2Art. 3§ 1349 Health Plan Licensing Requirements

§ 1349 Health Plan Licensing Requirements

Health and Safety Code·California
AI Summary·Official Text·Key Terms·Related Statutes·References
AI SummaryVerified

§ 1349 Health Plan Licensing Requirements

Key Takeaways

  • •You need a special license to run a health care plan in this state.
  • •You can't take money from people for a health plan unless you have this license.
  • •Some people don't need this license if they are exempted by another rule.
  • •If an insurance company runs the health plan, they need an extra license from the Insurance Commissioner.

Example

A group of doctors wants to start a health plan where people pay a monthly fee to get medical care.

Before they can start taking money from people, they must get a special license from the state. If they don't get this license, they are breaking the law.

AI-generated — May contain errors. Not legal advice. Always verify source.

Official Source
View on CA.gov

§ 1349 Health Plan Licensing Requirements

It is unlawful for any person to engage in business as a plan in this state or to receive advance or periodic consideration in connection with a plan from or on behalf of persons in this state unless such person has first secured from the director a license, then in effect, as a plan or unless such person is exempted by the provisions of Section 1343 or a rule adopted thereunder. A person licensed pursuant to this chapter need not be licensed pursuant to the Insurance Code to operate a health care service plan or specialized health care service plan unless the plan is operated by an insurer, in which case the insurer shall also be licensed by the Insurance Commissioner. (Amended by Stats. 1999, Ch. 525, Sec. 49. Effective January 1, 2000. Operative July 1, 2000, or sooner, by Sec. 214 of Ch. 525.)

Last verified: January 23, 2026

Key Terms

insuranceconsiderationcommissionhealthlicensedirectorin californiaoperative july

Related Statutes

  • § 1352.1 Plan Contract Filing Requirements
  • § 1353 License Issuance Requirements
  • § 1342.5 Regulatory Consistency Consultation Requirement
  • § 1346.2 Health Insurance Portal Review
  • § 1351.2 Mexican Prepaid Plan Licensure

References

  • Official text at leginfo.legislature.ca.gov
  • California Legislature. Health and Safety Code. Section 1349.
View Official Source