A stop-loss insurance policy issued, reissued, or renewed on or after January 1, 2016, to a small employer shall not contain any of the following provisions: (a) An individual attachment point for a policy year that is less than forty thousand dollars ($40,000). (b) An aggregate attachment point for a policy year that is less than the greater of one of the following: (1) Five thousand dollars ($5,000) times the total number of group members. (2) One hundred twenty percent of expected claims. (3) Forty thousand dollars ($40,000). (c) A provision for direct coverage of an employee or dependent of an employee.
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