A health care service plan that offers a point-of-service plan contract shall do all of the following:
(a) Deposit with the director or, at the discretion of the director, with any organization or trustee acceptable to the director through which a custodial or controlled account is maintained, cash, securities, or any combination of these, which is acceptable to the director, that at all times have a fair market value equal to the greater of either one of the following:
- (1) Two hundred thousand dollars ($200,000).
- (2) One hundred twenty percent of the plan’s current monthly claims payable plus incurred but not reported balance for coverage out-of-network coverage or services provided under point-of-service contracts.
- (b) Track out-of-network point-of-service utilization separately from in-network utilization.
- (c) Record point-of-service utilization in a manner that will permit utilization and cost reporting as the director may require.
- (d) Demonstrate to the satisfaction of the director that the health care service plan has the fiscal, administrative, and marketing capacity to control its point-of-service plan contract enrollment, utilization, and costs so as not to jeopardize the financial viability or organizational and administrative capacity of the health care service plan.
- (e) Maintain the deposit required under subdivision (a) in a manner agreed to by the director, subject to subdivision (a) of Section 1377 and any regulations adopted thereunder.
- (f) Any deposit made pursuant to this section shall be a credit against any deposit required by subdivision (a) of Section 1377.