Section 10123.5

(a)

On or after January 1, 1993, every insurer issuing group disability insurance which covers hospital, medical, or surgical expenses shall provide benefits for the comprehensive preventive care of children 16 years of age or younger under such terms and conditions as may be agreed upon between the group policyholder and the insurer. Every insurer shall communicate the availability of such benefits to all group policyholders and to all prospective group policyholders with whom they are negotiating.

(b)

For purposes of this section, benefits for the comprehensive preventive care of children shall comply with both of the following:

(1)

Be consistent with both of the following:

(A)

The Recommendations for Preventive Pediatric Health Care, as adopted by the American Academy of Pediatrics in September of 1987.

(B)

The most current version of the Recommended Childhood Immunization Schedule/United States, jointly adopted by the American Academy of Pediatrics, the Advisory Committee on Immunization Practices, and the American Academy of Family Physicians, unless the State Department of Health Services determines, within 45 days of the published date of the schedule, that the schedule is not consistent with the purposes of this section.

(2)

Provide for the following:

(A)

Periodic health evaluations.

(B)

Immunizations.

(C)

Laboratory services in connection with periodic health evaluations.

Location: https://www.weblaws.org/california/codes/ca_ins_code_section_10123.5.

Original source: https://­leginfo.­legislature.­ca.­gov/­faces/­codes_displaySection.­xhtml?lawCode=INS&sectionNum=10123.­5.­ External link icon (last accessed December 5, 2016).