California Code of Regulations
Title 10 - Investment
Chapter 12 - California Health Benefit Exchange
Article 8 - Enrollment Assistance
Section 6650 - Definitions
Current through Register 2024 Notice Reg. No. 38, September 20, 2024
(a) For purposes of this Article, the following terms shall have the following associated meanings:
Authorized Contact: The individual appointed by the Certified Enrollment Entity to manage the agreement with the Exchange.
Certified Enrollment Counselor: An individual who is certified by the Exchange pursuant to Section 6656 to provide one-on-one Consumer Assistance. A Certified Enrollment Counselor shall be registered in the Navigator Program.
Certified Enrollment Entity: An entity or individual registered by the Exchange to provide one-on-one Consumer Assistance. A Certified Enrollment Entity shall be registered in the Navigator Program.
Consumer: A person or entity seeking information on eligibility and enrollment or seeking application assistance with a health insurance or health related product available through the Exchange. The term consumer includes, but is not limited to, an applicant, an application filer, authorized representative, employer, qualified employee, qualified employer, qualified individual, small employer, or enrollee as defined in Section 6410 of Article 2 of this Chapter.
Consumer Assistance: The programs and activities created under 45 C.F.R. § 155.205(d) to provide one-on-one assistance to consumers.
Navigator: A Certified Enrollment Counselor who is affiliated pursuant to Section 6656 with a Certified Enrollment Entity that is registered in the Navigator Program.
Navigator Program: The Program whereby Certified Enrollment Entities are awarded grants for conducting Outreach & Education and Consumer Assistance.
Outreach & Education: The programs and activities created under 45 C.F.R. § 155.205(e) to educate consumers about the Exchange and insurance affordability programs in order to encourage participation.
Personally Identifiable Information: Any information, including electronic, paper or any other media, that identifies or describes an individual, or can be used to distinguish or trace an individual's identity, including, but not limited to, his or her name, social security number, physical description, date, place of birth, mother's maiden name, home address, home telephone number, education, financial matters, medical or employment history, biometric records, and statements made by, or attributed to, the individual, that alone or when combined with other personal or identifying information can be linked or is linkable to a specific individual. Personally Identifiable Information includes Protected Health Information (PHI), as defined in the Health Insurance Portability and Accountability Act of 1996 (42 U.S.C. section 1320d -d8).
Primary Contact: The individual appointed by the Certified Enrollment Entity to be a liaison with the Exchange.
1. New article 8
(sections 6650-6670) and section filed 7-15-2013 as an emergency; operative
7-15-2013 (Register 2013, No. 29). A Certificate of Compliance must be transmitted
to OAL by 1-13-2014 or emergency language will be repealed by operation of law on
the following day.
2. Repealed by operation of Government Code section
11346.1(g)
(Register 2014, No. 7).
3. New article 8 (sections 6650-6670) and section
filed 2-10-2014 as an emergency pursuant to Government Code section
11346.1,
subdivision (h); operative 2-10-2014 (Register 2014, No. 7). A Certificate of
Compliance must be transmitted to OAL by 5-12-2014 or emergency language will be
repealed by operation of law on the following day.
4. New article 8
(sections 6650-6670) and section refiled 5-12-2014 as an emergency pursuant to
Government Code section
11346.1,
subdivision (h); operative 5-12-2014 (Register 2014, No. 20). A Certificate of
Compliance must be transmitted to OAL by 8-11-2014 or emergency language will be
repealed by operation of law on the following day.
5. New article 8
(sections 6650-6670) and section refiled with amendments 7-21-2014 as an emergency
pursuant to Government Code section
100504(a)(6),
as modified by Senate Bill 857 (Stats 2014, c. 31); operative 7-21-2014 (Register
2014, No. 30). A Certificate of Compliance must be transmitted to OAL by 7-15-2015
pursuant to Government Code section
100504 or
emergency language will be repealed by operation of law on the following
day.
6. 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 2-10-2017 or the language in the emergency order of
7-21-2014 will be repealed by operation of law on the following day (Register 2015,
No. 38).
7. Certificate of Compliance as to 7-21-2014 order, including
further amendment of section and NOTE, transmitted to OAL 11-6-2015 and filed
12-23-2015 (Register 2015, No. 52).
Note: Authority cited: Sections 100502 and 100504, Government Code. Reference: Sections 100502 and 100503, Government Code; and 45 C.F.R. §§ 155.205 and 155.210.
