California Code of Regulations
Title 10 - Investment
Chapter 12 - California Health Benefit Exchange
Article 5 - Application, Eligibility, and Enrollment Process for the Individual Exchange
Section 6492 - Inconsistencies
Current through Register 2024 Notice Reg. No. 12, March 22, 2024
(a) Except as otherwise specified in this Article, for an applicant for whom the Exchange cannot verify information required to determine eligibility for enrollment in a QHP, or for APTC and CSR, including when electronic data is required in accordance with this section but data for individuals relevant to the eligibility determination are not included in such data sources or when electronic data from IRS, DHS, or SSA is required but it is not reasonably expected that data sources will be available within one day of the initial request to the data source, the Exchange:
(b) The Exchange shall provide an exception, on a case-by-case basis, to accept an applicant's attestation as to the information which cannot otherwise be verified and the applicant's explanation of circumstances as to why the applicant does not have documentation if:
(c) An applicant shall not be required to provide information beyond the minimum necessary to support the eligibility and enrollment processes of the Exchange, Medi-Cal, and CHIP.
1. New section
filed 9-30-2013 as a deemed emergency pursuant to Government Code section
100504(a)(6);
operative 9-30-2013 (Register 2013, No. 40). A Certificate of Compliance must
be transmitted to OAL by 4-1-2014 or emergency language will be repealed by
operation of law on the following day.
2. New section, including
amendment of subsection (a)(2)(B), refiled 4-1-2014 as a deemed emergency
pursuant to Government Code section
100504(a)(6);
operative 4-1-2014 (Register 2014, No. 14). A Certificate of Compliance must be
transmitted to OAL by 6-30-2014 or emergency language will be repealed by
operation of law on the following day.
3. Refiling of 4-1-2014
action on 6-30-2014, including amendment of subsection (a)(5)(B) and repealer
of subsection (a)(5)(C), as a deemed emergency pursuant to Government Code
section
100504(a)(6);
operative 6-30-2014 (Register 2014, No. 27). A Certificate of Compliance must
be transmitted to OAL by 9-29-2014 or emergency language will be repealed by
operation of law on the following day.
4. New section refiled
9-30-2014 as an emergency pursuant to Government Code section
100504(a)(6),
as modified by Senate Bill 857 (Stats. 2014, c. 31); operative 9-30-2014
(Register 2014, No. 40). A Certificate of Compliance must be transmitted to OAL
by 9-30-2015 pursuant to Government Code section
100504 or
emergency language will be repealed by operation of law on the following
day.
5. Editorial correction of HISTORY 4 (Register 2014, No.
45).
6. Editorial correction of HISTORY 4 (Register 2014, No.
50).
7. New section refiled 12-12-2014 as an emergency pursuant to
Government Code section
100504(a)(6),
as modified by Senate Bill 857 (Stats. 2014, c. 31); operative 12-12-2014
(Register 2014, No. 50). A Certificate of Compliance must be transmitted to OAL
by 9-30-2015 pursuant to Government Code section
100504 or
emergency language will be repealed by operation of law on the following
day.
8. Refiling of 12-12-2014 action on 5-11-2015, including
amendment of section, as an emergency pursuant to Government Code section
100504(a)(6),
as modified by Senate Bill 857 (Stats. 2014, c. 31); operative 5-11-2015
(Register 2015, No. 20). A Certificate of Compliance must be transmitted to OAL
by 9-30-2015 pursuant to Government Code section
100504 or
emergency language will be repealed by operation of law on the following
day.
9. Senate Bill 75 (Stats. 2015, Ch. 18) modified Government
Code section
100504(a)(6)
to change the date upon which a Certificate of Compliance must be transmitted
to OAL. Pursuant to Government Code section
100504(a)(6),
as modified by Senate Bill 75 (Stats. 2015, Ch. 18), a Certificate of
Compliance must be transmitted to OAL by 9-30-2016 or the language in the
emergency order of 5-11-2015 will be repealed by operation of law on the
following day (Register 2015, No. 38).
10. New section refiled
9-17-2015 as an emergency pursuant to Government Code section
100504(a)(6),
as modified by Senate Bill 857 (Stats. 2014, c. 31) and Senate Bill 75 (Stats.
2015, Ch. 18); operative 9-17-2015 (Register 2015, No. 38). A Certificate of
Compliance must be transmitted to OAL by 9-30-2016 pursuant to Government Code
section
100504 or
the language in the emergency order of 9-17-2015 will be repealed by operation
of law on the following day.
11. New section refiled 12-14-2015 as
an emergency pursuant to Government Code section
100504(a)(6),
as modified by Senate Bill 857 (Stats. 2014, c. 31) and Senate Bill 75 (Stats.
2015, Ch. 18); operative 12-14-2015 (Register 2015, No. 51). A Certificate of
Compliance must be transmitted to OAL by 9-30-2016 pursuant to Government Code
section
100504 or
the language in the emergency order of 12-14-2015 will be repealed by operation
of law on the following day.
12. New section refiled 6-6-2016 as an
emergency pursuant to Government Code section
100504(a)(6),
as modified by Senate Bill 857 (Stats. 2014, c. 31) and Senate Bill 75 (Stats.
2015, Ch. 18); operative 6-6-2016 (Register 2016, No. 24). A Certificate of
Compliance must be transmitted to OAL by 9-30-2016 pursuant to Government Code
section
100504 or
the language in the emergency order of 6-6-2016 will be repealed by operation
of law on the following day.
13. Senate Bill 833 (Stats. 2016, c.
30) modified Government Code section
100504(a)(6)
to extend the date upon which a Certificate of Compliance must be transmitted
to OAL. Refiling of 6-6-2016 order on 9-30-2016 as a deemed emergency pursuant
to Government Code section
100504(a)(6);
operative 9-30-2016 (Register 2016, No. 40). A Certificate of Compliance must
be transmitted to OAL by 10-1-2018 pursuant to Government Code section
100504(a)(6)
or emergency language will be repealed by operation of law on the following
day.
14. New section refiled 2-16-2017 as an emergency pursuant to
Government Code section
100504(a)(6),
as modified by Senate Bill 857 (Stats. 2014, c. 31); operative 2-16-2017
(Register 2017, No. 7). A Certificate of Compliance must be transmitted to OAL
by 10-1-2018 pursuant to Government Code section
100504(a)(6)
or the language in the emergency order of 2-16-2017 will be repealed by
operation of law on the following day.
15. New section refiled,
including amendment of subsection (a)(4)(B) and new subsection (a)(4)(C),
10-26-2017 as an emergency pursuant to Government Code section
100504(a)(6),
as modified by Senate Bill 833 (Stats. 2016, c. 30), Senate Bill 75 (Stats.
2015, c. 18) and Senate Bill 857 (Stats. 2014, c. 31); operative 10-26-2017
(Register 2017, No. 43). A Certificate of Compliance must be transmitted to OAL
by 10-1-2018 pursuant to Government Code section
100504(a)(6)
or the language in the emergency order of 10-26-2017 will be repealed by
operation of law on the following day.
16. Certificate of Compliance
as to 10-26-2017 order, including further amendment of section, transmitted to
OAL 8-10-2018 and filed 9-24-2018; amendments effective 9-24-2018 pursuant to
Government Code section
11343.4(b)(3)
(Register 2018, No. 39).
Note: Authority cited: Section 100504, Government Code. Reference: Sections 100502, 100503 and 100504, Government Code; and 45 CFR Section 155.315.