California Code of Regulations
Title 10 - Investment
Chapter 5.8 - Managed Risk Medical Insurance Board Healthy Families Program
Article 4 - Risk Categories and Family Contributions
Section 2699.6815 - Overdue Payments; Disenrollment
Current through Register 2024 Notice Reg. No. 38, September 20, 2024
(a) Applicants whose family child or parent contributions are not paid in full by the due date shall be considered to be overdue.
(b) The program shall notify applicants of the overdue family child and/or parent contributions and the potential for disenrollment from the program within fifteen (15) calendar days following the due date.
(c) No less than thirty (30) calendar days prior to the date of potential disenrollment pursuant to (e) and (f) below, the program shall provide notice to the applicant of the potential disenrollment as specified in Subsection 2699.6611(b).
(d) If the amount of family contributions paid by an applicant is not adequate to cover the combined amount of the family child contributions and family parent contributions, the program will first apply the monies paid toward the family child contributions with any remainder applied toward the family parent contributions.
(e) If family parent contributions are not paid for two (2) consecutive calendar months, the subscriber parents covered by the family contribution shall be disenrolled pursuant to Section 2699.6611. Termination of coverage shall be at the end of the second consecutive month for which the family parent contributions were not paid in full. Any credit remaining from the family parent contributions after a subscriber parent's disenrollment from the program will be applied toward any family child contributions applicable to a subscriber child who is enrolled in the program and to whom the subscriber parent is linked.
(f) If family child contributions are not paid for two (2) consecutive calendar months, all subscriber children covered by the family child contributions shall be disenrolled pursuant to Section 2699.6611. Termination of coverage shall be at the end of the second consecutive month for which the family child contributions were not paid in full.
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repealed by operation of law on the following day.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 4-29-2002 as an
emergency; operative 4-29-2002 (Register 2002, No. 18). Pursuant to Chapter 946,
Statutes of 2000, section 2, a Certificate of Compliance must be transmitted to OAL
by 10-28-2002 or emergency language will be repealed by operation of law on the
following day.
4. Certificate of Compliance as to 4-29-2002 order
transmitted to OAL 10-28-2002 and filed 12-12-2002 (Register 2002, No.
50).
5. Amendment of subsections (e)-(f) filed 7-31-2003 as an emergency;
operative 7-31-2003 (Register 2003, No. 31). A Certificate of Compliance must be
transmitted to OAL by 1-27-2004 or emergency language will be repealed by operation
of law on the following day.
6. Certificate of Compliance as to 7-31-2003
order transmitted to OAL 11-17-2003 and filed 12-30-2003 (Register 2004, No.
1).
Note: Authority cited: Sections 12693.21 and 12693.755, Insurance Code. Reference: Sections 12693.21, 12693.45 and 12693.755, Insurance Code.
