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 2699.6159 - Effective Date of Coverage for Sole Employees
Universal Citation: 10 CA Code of Regs 2699.6159
Current through Register 2024 Notice Reg. No. 38, September 20, 2024
(a) For enrolled sole employees and dependents, the effective date of coverage shall be as follows:
(1) For enrollees whose eligibility determination
was made pursuant to Section
2699.6131(a) the
effective date of coverage shall be within twenty (20) calendar days of a
determination of eligibility.
(2) For
enrollees who enroll or transfer pursuant to Section
2699.6139 the effective date of
coverage shall be established by the program and shall be no later than forty-five
(45) calendar days following the end of the open enrollment period.
(3) For enrollees who were enrolled pursuant to
Section 2699.6145 the effective date of
coverage shall be determined by the program and shall be no later than forty-five
(45) calendar days from the receipt of a complete application.
(4) For newborn or adopted children that are
dependents, the effective date of coverage shall be upon birth or adoption of the
child. The effective date for coverage for stepchildren that are dependents shall be
upon marriage by a sole employee to the stepchild's parent. The effective date for
coverage of a spouse shall be upon marriage.
(b) The program shall notify the sole employer of the effective date and the program shall also notify the participating carrier(s) of the effective date of coverage.
1. Renumbering and amendment of former section 2699.625 to section 2699.6159 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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