Insurance Code section 10198.9

A health benefit plan for group coverage shall not establish rules for eligibility, including continued eligibility, of an individual, or dependent of an individual, to enroll under the terms of the plan based on any of the following health status-related factors:

(a)

Health status.

(b)

Medical condition, including physical and mental illnesses.

(c)

Claims experience.

(d)

Receipt of health care.

(e)

Medical history.

(f)

Genetic information.

(g)

Evidence of insurability, including conditions arising out of acts of domestic violence.

(h)

Disability.

(i)

Any other health status-related factor as determined by any federal regulations, rules, or guidance issued pursuant to Section 2705 of the federal Public Health Service Act.

Source: Section 10198.9, https://leginfo.­legislature.­ca.­gov/faces/codes_displaySection.­xhtml?lawCode=INS§ionNum=10198.­9.­ (accessed May 10, 2025).

Last Updated

May 10, 2025

§ 10198.9’s source at ca​.gov