California Code of Regulations
Title 10 - Investment
Chapter 5.7 - Voluntary Alliance Uniting Employers Purchasing Pool (the Health Insurance Plan of California)
Article 2 - Participation Requirements, Application and Enrollment
Section 2699.6119 - Annual Requalification for Guaranteed Associations and Guaranteed Association Members

Universal Citation: 10 CA Code of Regs 2699.6119

Current through Register 2024 Notice Reg. No. 38, September 20, 2024

(a) Each participating association will be reevaluated annually to determine if it continues to be a qualified guaranteed association. If the participating guaranteed association meets the requirements of Section 2699.6109, then the participating guaranteed association shall continue to be qualified. As part of this process the participating guaranteed association shall specify the categories of persons to be sponsored for coverage.

(b) Each participating member employer will be reevaluated annually to determine if it continues to be a qualified member employer. If a participating member employer has at least two eligible employees at the time of the participating member employer's annual requalification and if the participating member employer meets the requirements of Section 2699.6111, then the participating member employer shall continue to be qualified. For purposes of this subsection only, a member employee who is not an eligible employee at the time of the annual re-evaluation solely because of an employer-imposed waiting period but who will complete the waiting period within 30 days of the anniversary of the group's participation, and who has submitted a complete application to the program, shall be deemed an eligible employee. A participating member employer must provide to the program all information necessary for the program's annual determination and all information necessary to verify the status of eligible employees and dependents. This information shall include a listing of all potentially eligible employees and dependents as well as a certification that the member employer has met the requirements of Section 2699.6111.

(c) Each participating individual member will be reevaluated annually to determine if he or she continues to be a qualified individual member. If the participating individual member meets the requirements of Section 2699.6113, then the participating individual member shall continue to be qualified.

1. Renumbering and amendment of former section 2699.622.5 to section 2699.6119 filed 5-27-94; operative 5-27-94 (Register 94, No. 21).
2. Amendment of subsection (b) filed 5-5-97; operative 7-1-97 (Register 97, No. 19).

Note: Authority cited: Section 10731, Insurance Code. Reference: Sections 10731 and 10741, Insurance Code.

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