Insurance Code section 10123.12

Every health insurer, including those insurers that contract for alternative rates of payment pursuant to Section 10133, and every self-insured employee welfare benefit plan that will affect the choice of physician, hospital, or other health care providers shall include within its disclosure form and within its evidence or certificate of coverage a statement clearly describing how participation in the policy or plan may affect the choice of physician, hospital, or other health care providers, and describing the nature and extent of the financial liability that is, or that may be, incurred by the insured, enrollee, or covered dependents if care is furnished by a provider that does not have a contract with the insurer or plan to provide service at alternative rates of payment pursuant to Section 10133. The form shall clearly inform prospective insureds or plan enrollees that participation in the policy or plan will affect the person’s choice in this regard by placing the following statement in a conspicuous place on all material required to be given to prospective insureds or plan enrollees including promotional and descriptive material, disclosure forms, and certificates and evidences of coverage:
It is not the intent of this section to require that the names of individual health care providers be enumerated to prospective insureds or enrollees.
If a health insurer providing coverage for hospital, medical, or surgical expenses provides a list of facilities to patients or contracting providers, the insurer shall include within the provider listing a notification that insureds or enrollees may contact the insurer in order to obtain a list of the facilities with which the health insurer is contracting for subacute care and/or transitional inpatient care.

Source: Section 10123.12, https://leginfo.­legislature.­ca.­gov/faces/codes_displaySection.­xhtml?lawCode=INS§ionNum=10123.­12.­ (accessed Apr. 24, 2025).

10110
 10110.1
 10110.2
 10110.3
 10110.4
 10110.5
 10110.6
 10110.7
 10110.8
 10110.75
 10111
 10111.2
 10111.5
 10111.7
 10112
 10112.1
 10112.2
 10112.3
 10112.4
 10112.5
 10112.6
 10112.7
 10112.8
 10112.9
 10112.25
 10112.26
 10112.27
 10112.28
 10112.29
 10112.35
 10112.81
 10112.82
 10112.95
 10112.281
 10112.282
 10112.291
 10112.295
 10112.296
 10112.297
 10112.300
 10113
 10113.1
 10113.2
 10113.3
 10113.4
 10113.5
 10113.6
 10113.7
 10113.8
 10113.9
 10113.35
 10113.70
 10113.71
 10113.72
 10113.95
 10114
 10115
 10116
 10116.5
 10117
 10117.5
 10117.52
 10118
 10119
 10119.1
 10119.2
 10119.3
 10119.5
 10119.6
 10119.7
 10119.8
 10119.9
 10120
 10120.2
 10120.3
 10120.4
 10120.5
 10120.35
 10120.41
 10120.42
 10121
 10121.5
 10121.6
 10121.7
 10122
 10122.1
 10122.2
 10123
 10123.1
 10123.2
 10123.3
 10123.4
 10123.5
 10123.6
 10123.7
 10123.8
 10123.9
 10123.10
 10123.11
 10123.12
 10123.13
 10123.14
 10123.15
 10123.16
 10123.17
 10123.18
 10123.19
 10123.20
 10123.21
 10123.22
 10123.31
 10123.35
 10123.36
 10123.51
 10123.55
 10123.61
 10123.65
 10123.67
 10123.68
 10123.81
 10123.82
 10123.83
 10123.84
 10123.85
 10123.86
 10123.87
 10123.88
 10123.89
 10123.91
 10123.131
 10123.132
 10123.135
 10123.137
 10123.141
 10123.145
 10123.147
 10123.184
 10123.185
 10123.191
 10123.192
 10123.193
 10123.194
 10123.195
 10123.196
 10123.197
 10123.198
 10123.199
 10123.201
 10123.202
 10123.203
 10123.204
 10123.205
 10123.206
 10123.207
 10123.208
 10123.209
 10123.210
 10123.835
 10123.855
 10123.856
 10123.857
 10123.865
 10123.866
 10123.867
 10123.868
 10123.1932
 10123.1933
 10123.1945
 10123.1961
 10124
 10124.7
 10125
 10125.1
 10126
 10126.5
 10126.6
 10126.65
 10126.66
 10127
 10127.1
 10127.2
 10127.3
 10127.4
 10127.5
 10127.7
 10127.8
 10127.09
 10127.9
 10127.10
 10127.11
 10127.12
 10127.13
 10127.14
 10127.15
 10127.16
 10127.17
 10127.18
 10127.19
 10127.20
 10127.21
Last Updated

Apr. 24, 2025

§ 10123.12’s source at ca​.gov