AB100-AA3,1,8
6"a. Provide access to any available lower cost benefit plan with reduced benefits
7or a higher deductible or both, without subjecting the individual covered under the
8individual health benefit plan to additional underwriting.
AB100-AA3,1,109
b. Provide coverage to the insured individual under a different individual
10health benefit plan offered by the insurer, subject to additional underwriting.".
AB100-AA3,2,2
11. "Block of business" means a health benefit plan that includes distinct
2benefits, services, and terms issued by an insurer to one or more individuals.
AB100-AA3,2,43
2. "Closed block of business" means a block of business that the insurer ceases
4to actively sell to new applicants.
AB100-AA3,2,115
3. "Health benefit plan" means an individual expense-incurred hospital,
6medical, surgical, or dental policy, nonprofit health care corporation certificate, or
7health maintenance organization contract. "Health benefit plan" does not include
8accident-only, credit, or disability income insurance; long-term care insurance;
9coverage issued as a supplement to liability insurance; coverage only for a specified
10disease or illness; worker's compensation insurance; or automobile medical
11payments insurance.
AB100-AA3,2,1512
(b) An insurer must pool a block of business after it has been closed for 5 years
13with all other blocks of business that have been closed for at least 5 years for the
14purpose of determining the percentage premium rate increase of any health benefit
15plan within the closed block of business.".
