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 2699.6127 - Application for Individual Members

Universal Citation: 10 CA Code of Regs 2699.6127

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

(a) To apply for the program an individual member shall submit:

(1) All information, documentation, and declarations as set forth in Section 6121(d)(2) for sole employees except for Section 6121(d)(2)(H).

(2) The name of the individual member's qualified guaranteed association.

(3) A declaration by the individual member stating the relationship of the individual member to her or his guaranteed association as determined by the guaranteed association pursuant to Section 2699.6109(a)(9).

(4) One check or money order for an amount equal to the initial one month individual premium. If the check is returned for non-sufficient funds, the application will be considered incomplete.

(b) Applications shall be submitted to the guaranteed association if the guaranteed association has so elected. If the guaranteed association has not so elected the applications shall be submitted to the program.

(c) An incomplete application shall not be processed and may be returned to the individual member.

1. Renumbering and amendment of former section 2699.623.8 to section 2699.6127 filed 5-27-94; operative 5-27-94 (Register 94, No. 21).

Note: Authority cited: Section 10731, Insurance Code. Reference: Section 10731, Insurance Code.

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