Insurance Code section 10752.3

A stop-loss insurance policy issued, reissued, or renewed on or after January 1, 2014, and prior to January 1, 2016, to a small employer shall not contain any of the following provisions:

(a)

An individual attachment point for a policy year that is less than thirty-five thousand dollars ($35,000).

(b)

An aggregate attachment point for a policy year that is less than the greater of one of the following:

(1)

Five thousand dollars ($5,000) times the total number of group members.

(2)

One hundred twenty percent of expected claims.

(3)

Thirty-five thousand dollars ($35,000).

(c)

A provision for direct coverage of an employee or dependent of an employee.

Source: Section 10752.3, https://leginfo.­legislature.­ca.­gov/faces/codes_displaySection.­xhtml?lawCode=INS§ionNum=10752.­3.­ (updated Jan. 1, 2014; accessed Jun. 25, 2025).

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Verified:
Jun. 30, 2025

§ 10752.3's source at ca​.gov