California Code of Regulations
Title 10 - Investment
Chapter 5.8 - Managed Risk Medical Insurance Board Healthy Families Program
Article 3 - Health, Dental and Vision Benefits
Section 2699.6707 - Annual or Lifetime Benefit Maximums

Universal Citation: 10 CA Code of Regs 2699.6707

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

(a) There shall be no annual or lifetime financial benefit maximums in any of the coverage under the program.

(b)

(1) For the benefit year commencing July 1, 2009, the covered dental benefit for each subscriber shall be limited to eighteen hundred seventy-five dollars ($1,875) per benefit year.

(2) Effective October 1, 2010, through and including September 30, 2011, the covered dental benefit for each subscriber shall be limited to fifteen hundred dollars ($1,500) per benefit year. Effective October 1, 2011, there shall be no annual limit on covered dental benefits for subscribers

(3) The limitations contained in this subsection shall not apply to dental benefits provided to a subscriber under the age of 21 who is determined by the California Children's Services Program (Health and Safety Code Section 123800 et seq.) to be eligible for dental benefits under that program and the particular services are authorized by the California Children's Services Program for the particular subscriber for the treatment of a California Children's Services Program eligible medical condition.

1. New section filed 2-20-98 as an emergency; operative 2-20-98 (Register 98, No. 8). A Certificate of Compliance must be transmitted to OAL by 6-22-98 or emergency language will be repealed by operation of law on the following day.
2. Certificate of Compliance as to 2-20-98 order transmitted to OAL 6-5-98 and filed 7-15-98 (Register 98, No. 29).
3. Amendment of section and NOTE filed 1-15-2009, deemed an emergency pursuant to Chapter 758, Statutes of 2008; operative 1-15-2009 (Register 2009, No. 3). A Certificate of Compliance must be transmitted to OAL by 7-14-2009 or emergency language will be repealed by operation of law on the following day.
4. Certificate of Compliance as to 1-15-2009 order, including amendment of NOTE, transmitted to OAL 7-13-2009 and filed 8-19-2009 (Register 2009, No. 34).
5. Redesignation of former subsection (b) as subsection (b)(1), new subsections (b)(2)-(3) and amendment of NOTE filed 6-24-2010 as an emergency; operative 7-1-2010 pursuant to Government Code section 11346.1(d) (Register 2010, No. 26). A Certificate of Compliance must be transmitted to OAL by 12-28-2010 or the emergency action will be repealed by operation of law on the following day.
6. Certificate of Compliance as to 6-24-2010 order transmitted to OAL 12-21-2010 and filed 2-2-2011 (Register 2011, No. 5).
7. Amendment of subsection (b)(2) filed 7-8-2011, deemed an emergency pursuant to Insurance Code section 12693.22; operative 7-8-2011 (Register 2011, No. 27). A Certificate of Compliance must be transmitted to OAL by 1-4-2012 or emergency language will be repealed by operation of law on the following day.
8. Certificate of Compliance as to 7-8-2011 order transmitted to OAL 12-22-2011 and filed 1-9-2012 (Register 2012, No. 2).

Note: Authority cited: Sections 12693.21 and 12693.22, Insurance Code. Reference: Sections 12693.21, 12693.22, 12693.60, 12693.615, 12693.63 and 12693.64, Insurance Code.

Disclaimer: These regulations may not be the most recent version. California may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.