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Legal Resources | Labor Code |  LC  2160.1  

Employee Health Insurance; Employer Credit Against the Fee   

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Proof of coverage shall be demonstrated by any of the following:

(a) Any health care coverage that meets the minimum requirements set forth in Chapter 2.2 (commencing with Section 1340) of Division 2 of the Health and Safety Code.

(b) A group health insurance policy, as defined in subdivision (b) of Section 106 of the Insurance Code, that covers hospital, surgical, and medical care expenses, provided the maximum out-of-pocket costs for insureds do not exceed the maximum out-of-pocket costs for enrollees of health care service plans providing benefits under a preferred provider organization policy. For the purposes of this section, a group health insurance policy shall not include any of the following:

(1) Medicare supplement, vision only, dental only, and Champus supplement insurance.

(2) Hospital indemnity, accident only, or specified disease insurance that pays benefits on a fixed benefit, cash-payment-only basis.

(c) Any Taft-Hartley health and welfare fund or any other lawful collective bargaining agreement that provides for health and welfare coverage for a collective bargaining unit or other employees thereby covered.

(d) Any employer-sponsored group health plan meeting the requirements of the federal Employee Retirement Income Security Act of 1974 (29 U.S.C. SEC. 1001 et seq.), provided it meets the benefits required under subdivision (a) or (b).

(e) A multiple employer welfare arrangement established pursuant to Section 742.20 of the Insurance Code, provided that its benefits have not changed after January 1, 2004, or that it meets the benefits required under subdivision (a) or (b).

(f) Coverage provided under the Public Employees' Medical and Hospital Care Act (Part 5 (commencing with Section 22751) of Division 5 of Title 2 of the Government Code, provided it meets the benefits required under subdivision (a) or (b) or is otherwise collectively bargained.

(g) Health coverage provided by the University of California to students of the University of California who are also employed by the University of California.

(Amended by Stats. 2004, Ch. 183, Sec. 257.)