(a) A full health care service plan shall make available to a group subscriber, upon request, the termination date of all major health care provider contracts that are for services in the geographic area for which the group subscriber has secured coverage and that include a specified termination date. (b) For purposes of this section, the following terms have the following meanings: (1) âEnrolleeâ means a person who is enrolled in a health care service plan and who is a recipient of services from the plan. (2) âFull health care service planâ means a plan that meets the definition set forth in subdivision (f) of Section 1345, and that has a total enrolled membership exceeding 499,999 enrollees. (3) âHospitalâ means a general acute care hospital. (4) âMajor health care provider contractâ means a contract between a full service plan and provider group or hospital covering more than 25,000 of that planâs enrollees. âMajor health care provider contractâ does not mean a provider contract between a specialized health care service plan and a provider group or hospital. (5) âProvider groupâ means a medical group, independent practice association, or other similar group of providers with a total enrolled membership exceeding 99,999 enrollees.
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