reglab/statecodes huggingface dataset:
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 4 - FEDERAL OLD AGE AND SURVIVORS' INSURANCE › CHAPTER 3 - Administration of Old Age and Survivors Insurance Program › ARTICLE 2 - Administrative Cost Assessment and Financial Obligations › Section 22558.

22558. The board or the state officer or agency designated to assist in the administration of this part, may audit the books and records of any public agency having employees in positions covered by the agreement. Such audits shall be restricted to the extent necessary to make a determination of the public agency’s liability for employer and employee contributions, penalties and interest required under the terms of the agreement.
(Added by Stats. 1955, Ch. 1441.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 4 - FEDERAL OLD AGE AND SURVIVORS' INSURANCE › CHAPTER 3 - Administration of Old Age and Survivors Insurance Program › ARTICLE 2 - Administrative Cost Assessment and Financial Obligations › Section 22559.

22559. Every public agency included in the agreement between the board and the federal agency shall submit all wage, contribution, and other reports required to fulfill the obligations of the state under the federal system. In the event of a failure or refusal to submit such reports, the board or the state officer or agency designated to assist in the administration of this part may audit the books and records of such public agency to the extent necessary to determine the public agency’s liability for employer and employee contributions, penalties and interest required under the terms of the agreement. The cost of such audits as determined by the board in a manner approved by the Department of General Services shall be assessed against such public agency and each public agency so assessed shall reimburse the state for such cost.
(Amended by Stats. 1967, Ch. 1353.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 4 - FEDERAL OLD AGE AND SURVIVORS' INSURANCE › CHAPTER 3 - Administration of Old Age and Survivors Insurance Program › ARTICLE 2 - Administrative Cost Assessment and Financial Obligations › Section 22560.

22560. (a) The board may charge or assess each public agency as defined in Section 22009.03 and each public agency shall pay and reimburse the state at the times and in the amounts as the board may determine, the approximate cost to the state, of any work, services, equipment, and other administrative costs relating to a division under Article 2.5 (commencing with Section 22150) of Chapter 1 or the referendum provided by Article 2 (commencing with Section 22300) of Chapter 2 and requested by the agency. The charges may differ from public agency to public agency.
(b) A penalty of 50 percent of the amount charged or assessed shall be added to each charge or assessment that is delinquent 90 days after a notice of the charge or assessment was mailed by the board. The total amount of the charge, assessment, and penalty that remains unpaid after 120 days shall accrue interest at the rate of 7 percent per annum. The charges, assessments, penalties, and interest collected shall be paid into the Treasury and credited as revenue to the Old Age and Survivors’ Insurance Revolving Fund for use by the board upon appropriation by the Legislature pursuant to subdivision (b) of Section 22600.
(Amended by Stats. 2019, Ch. 24, Sec. 21. (SB 83) Effective June 27, 2019.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 4 - FEDERAL OLD AGE AND SURVIVORS' INSURANCE › CHAPTER 3 - Administration of Old Age and Survivors Insurance Program › ARTICLE 3 - OASI Revolving Fund › Section 22600.

22600. (a) The Old Age and Survivors’ Insurance Revolving Fund is continued in existence. Notwithstanding Section 13340, all money in the fund is appropriated without regard to fiscal years to the board to carry out the provisions of paragraphs (2) to (5), inclusive, of Section 22601.
(b) The moneys in the fund and the charges, assessments, penalties, and interest collected and deposited in the fund, pursuant to Sections 22551, 22552, and 22560, shall only be expended by the board upon appropriation by the Legislature and for administrative purposes as authorized in paragraph (1) of Section 22601.
(c) In any fiscal year, if the cumulative revenue maintained or held in the Old Age and Survivors’ Insurance Revolving Fund pursuant to subdivision (b) exceeds 100 percent of program expenditures, as appropriated by the Legislature, the board shall submit revised charges or assessments for approval by the Department of Finance to ensure the charges or assessments do not result in excess fund reserve levels.
(Amended by Stats. 2019, Ch. 24, Sec. 22. (SB 83) Effective June 27, 2019.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 4 - FEDERAL OLD AGE AND SURVIVORS' INSURANCE › CHAPTER 3 - Administration of Old Age and Survivors Insurance Program › ARTICLE 3 - OASI Revolving Fund › Section 22601.

22601. The Old Age and Survivors’ Insurance Revolving Fund may be used by the board for the following purposes and for any other purposes necessary to carry out the provisions of this part:
(1) To reimburse any appropriation available for the support of the board or of any state office or agency designated by the board to assist in the administration of the provisions of this part.
(2) To advance on behalf of any public agency or agencies any part or all of the contributions required to be paid by them pursuant to Sections 22553, 22554 and 22555 of this code.
(3) To advance on behalf of any public agency or agencies any sums of money the State may be obligated to pay or forfeit to the Federal Government from and after October 30, 1950, by reason of any failure of any such public agency or agencies for any cause or reason to pay the contributions, penalties or interest required by the agreement and federal regulations adopted pursuant thereto at such times and in such amounts as required by the agreement and the said federal regulations.
(4) To make refunds to any public agency or agencies of contributions, penalties, interest, reimbursements, or other amounts received from any such public agency or agencies as overpayments or paid by them in error.
(5) To make any and all payments which the State may be required to make to the Federal Government pursuant to the agreement and federal regulations adopted pursuant thereto.
(Added by Stats. 1955, Ch. 1441.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 4 - FEDERAL OLD AGE AND SURVIVORS' INSURANCE › CHAPTER 3 - Administration of Old Age and Survivors Insurance Program › ARTICLE 3 - OASI Revolving Fund › Section 22602.

22602. With the exception of penalties and interest collected pursuant to Section 22556, and except as provided in subdivision (b) of Section 22600, moneys received by the board from public agencies under the provisions of this part may be deposited in the Old Age and Survivors’ Insurance Revolving Fund.
(Amended by Stats. 2019, Ch. 24, Sec. 23. (SB 83) Effective June 27, 2019.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 4 - FEDERAL OLD AGE AND SURVIVORS' INSURANCE › CHAPTER 3 - Administration of Old Age and Survivors Insurance Program › ARTICLE 3 - OASI Revolving Fund › Section 22603.

22603. Deficiencies or excesses occurring in the Old Age and Survivors’ Insurance Revolving Fund by reason of differences of a fraction of a cent in contributions or other amounts paid by a public agency under the provisions of this part shall be offset proportionately against the charges or assessments for administrative costs provided by Section 22551. Such offsets shall be applied annually by transfer between the said revolving fund and the appropriation available for the support of the board and upon request of the board the State Controller shall make such transfers.
(Added by Stats. 1955, Ch. 1441.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 1 - General Provisions › Section 22750.

22750. This part may be cited as the Public Employees’ Medical and Hospital Care Act. As used in any contract or statute, the term “Meyers-Geddes State Employees’ Medical and Hospital Care Act” shall be construed to refer to and mean the Public Employees’ Medical and Hospital Care Act.
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 1 - General Provisions › Section 22751.

22751. It is the purpose of this part to do all of the following:
(a) Promote increased economy and efficiency in state service.
(b) Enable the state to attract and retain qualified employees by providing health benefit plans similar to those commonly provided in private industry.
(c) Recognize and protect the state’s investment in each permanent employee by promoting and preserving good health among state employees.
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 1 - General Provisions › Section 22753.

22753. The provisions of this part shall be controlling over any memorandum of understanding reached pursuant to Chapter 10 (commencing with Section 3500) of Division 4 of Title 1, except as otherwise provided by this part.
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 1 - General Provisions › Section 22755.

22755. The provisions of this part shall become operative with respect to employees and annuitants of the University of California upon filing with the board a resolution adopted by the Regents of the University of California electing to be subject to the provisions of this part.
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 2 - Definitions › Section 22762.

22762. “Board” means the Board of Administration of the Public Employees’ Retirement System.
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 2 - Definitions › Section 22764.

22764. “Carrier” means a private insurance company holding a valid outstanding certificate of authority from the Insurance Commissioner, a medical society or other medical group, a nonprofit membership corporation lawfully operating under Section 10270.5 of the Insurance Code, a health care service plan as defined under subdivision (f) of Section 1345 of the Health and Safety Code, or a health maintenance organization approved under Title XIII of the federal Public Health Services Act (42 U.S.C. Sec. 201 et seq.) that is lawfully engaged in providing, arranging, paying for, or reimbursing the cost of personal health services under insurance policies or contracts, medical and hospital service agreements, membership contracts, or the like, in consideration of premiums or other periodic charges payable to it.
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 2 - Definitions › Section 22766.

22766. “Complementary annuitant premium” means the additional amount to be paid by an annuitant whose allowance falls below the premium required to maintain enrollment in the chosen health benefit plan.
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 2 - Definitions › Section 22768.

22768. “Contracting agency” means an entity that meets the eligibility criteria set forth in Section 22920 that has elected to be subject to this part pursuant to Section 22922.
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 2 - Definitions › Section 22770.

22770. “Domestic partner” means an adult in a domestic partnership, as defined in Section 22771, with an employee or annuitant of an employer subject to this part, who is eligible for enrollment pursuant to Section 22818.
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 2 - Definitions › Section 22771.

22771. A “domestic partnership” means either of the following:
(a) Two people who meet all of the criteria set forth in Section 297 or 299.2 of the Family Code.
(b) Two people who meet all of the criteria of a domestic partnership, as defined by the governing board of a contracting agency, if the contracting agency adopted that definition prior to January 1, 2000.
(Amended by Stats. 2005, Ch. 418, Sec. 15. Effective January 1, 2006.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 2 - Definitions › Section 22772.

22772. (a) “Employee” means:
(1) An officer or employee of the state or of any agency, department, authority, or instrumentality of the state, including the University of California.
(2) An employee who is employed by a contracting agency and participates in a publicly funded retirement system provided by the contracting agency, or an officer or official of a contracting agency.
(3) An annuitant receiving a retirement allowance pursuant to Section 21232 who is employed by a contracting agency.
(4) A teaching associate, lecturer, coach, or interpreter employed by the California State University who is appointed to work in an academic year classification for at least six weighted teaching units for one semester, or for at least six weighted teaching units for two or more consecutive quarter terms. This paragraph does not apply to a state member employed by the California State University, unless provided for in a memorandum of understanding reached pursuant to Chapter 12 (commencing with Section 3560) of Division 4 of Title 1 or authorized by the Trustees of the California State University for employees excluded from collective bargaining.
(5) All employees in job classes specified in subdivision (a) of Section 14876.
(6) An individual not described in paragraphs (1) to (5), inclusive, who is both of the following:
(A) A “full-time employee” of the state or a contracting agency within the meaning of Section 4980H of Title 26 of the United States Code and applicable United States Treasury Department regulations and interpretive guidance.
(B) Designated in writing as an employee for purposes of this section by the state or the contracting agency, as applicable.
(b) Except as otherwise provided by this part, “employee” does not include any of the following:
(1) A person employed on an intermittent, irregular, or less than half-time basis, or an employee similarly situated.
(2) A National Guard member described in Section 20380.5.
(Amended by Stats. 2020, Ch. 275, Sec. 26. (AB 2101) Effective January 1, 2021.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 2 - Definitions › Section 22773.

22773. “Employer” means the state or any contracting agency that is subject to this part.
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 2 - Definitions › Section 22774.

22774. “Exempt employee” means an employee exempt from civil service pursuant to subdivision (a), (c), (f), or (g) of Section 4 of Article VII of the California Constitution, or an exempt employee of the Attorney General or Legislative Counsel appointed pursuant to subdivision (m) of Section 4 of Article VII of the California Constitution.
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 2 - Definitions › Section 22775.

22775. “Family member” means an employee’s or annuitant’s spouse or domestic partner and any child, including an adopted child, a stepchild, or recognized natural child. The board shall, by regulation, prescribe age limits and other conditions and limitations pertaining to children. “Family member” does not include a former spouse or former domestic partner of an employee or annuitant.
(Amended by Stats. 2015, Ch. 28, Sec. 2. (SB 98) Effective June 24, 2015.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 2 - Definitions › Section 22777.

22777. “Health benefit plan” means any program or entity that provides, arranges, pays for, or reimburses the cost of health benefits.
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 2 - Definitions › Section 22778.

22778. “Medicare health benefit plan” means a health benefit plan that provides benefits in coordination with Medicare Parts A and B, including, but not limited to, a managed Medicare health benefit plan providing coverage through the Medicare+Choice program or a Medicare supplement health benefit plan that provides coverage in coordination with the traditional Medicare program.
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 2 - Definitions › Section 22779.

22779. “Out-of-state employee” means an employee permanently assigned to perform his or her duties outside of the state. An employee is permanently assigned out-of-state if the assignment is intended to exceed four months.
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 2 - Definitions › Section 22781.

22781. “Prefunding” means the making of periodic payments by an employer or employee to partially or completely fund or amortize the actuarially determined normal costs or unfunded actuarial obligation of the employer for postemployment health care benefits provided to annuitants and their family members.
(Amended by Stats. 2015, Ch. 28, Sec. 3. (SB 98) Effective June 24, 2015.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 2 - Definitions › Section 22783.

22783. “School employer” means a contracting agency that is a school district, county board of education, personnel commission of a school district, a county superintendent of schools, or a community college district.
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 2 - Definitions › Section 22785.

22785. “Special district” means a nonprofit, self-governed public agency located within the state, comprised solely of public employees, and performing a governmental function.
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 2 - Definitions › Section 22787.

22787. “System” means the California Public Employees’ Retirement System.
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 3 - The Board of Administration › Section 22790.

22790. The provisions of this part shall be administered by the board. The members of the board shall receive no salary for performance of their duties and responsibilities under this part, but shall be reimbursed for actual and necessary expenses incurred in connection therewith.
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 3 - The Board of Administration › Section 22792.

22792. All laws governing the organization, procedures, and administrative duties and responsibilities of the board shall be applicable to the board in its administration of the provisions of this part, to the extent that they are not in conflict with or inconsistent with the provisions of this part.
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 3 - The Board of Administration › Section 22793.

22793. The board shall, in accordance with this part, approve health benefit plans, and may contract with carriers offering health benefit plans.
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 3 - The Board of Administration › Section 22794.

22794. The board shall have all powers reasonably necessary to carry out the authority and responsibilities expressly granted or imposed upon it under this part.
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 3 - The Board of Administration › Section 22795.

22795. Irrespective of the provisions of Sections 1090 and 1091, a board member who is an officer of a life insurer may participate in all board activities in administering the provisions of this part, except that he or she may not vote on the question of whether a contract should be entered into or approval should be given concerning any health benefit plan in which the board member has a financial interest, as defined in the Political Reform Act of 1974 (Title 9 (commencing with Section 81000)).
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 3 - The Board of Administration › Section 22796.

22796. (a) The board shall, pursuant to the Administrative Procedure Act, adopt all necessary rules and regulations to carry out the provisions of this part including, but not limited to, any of the following:
(1) Regulations establishing the following:
(A) The scope and content of a basic health benefit plan.
(B) Reasonable minimum standards for health benefit plans.
(C) The time, manner, method, and procedures for determining whether approval of a health benefit plan should be withdrawn.
(2) Regulations pertaining to any other matters that the board may be expressly authorized or required to provide for by rule or regulation by the provisions of this part.
(b) In adopting rules and regulations, the board shall be guided by the needs and welfare of individual employees, particular classes of employees, the state and contracting agencies, as well as prevailing practices in the field of medical and hospital care.
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 3 - The Board of Administration › Section 22797.

22797. (a) The board or an authorized representative may perform audits of each employer and may, at a specified time and place, require the employer to provide information or make available for examination and copying books, papers, data, and records, including, but not limited to, personnel and payroll records, as deemed necessary by the board to determine compliance with the provisions of this part.
(b) Before initiating an audit, the board shall notify the subject of the audit of the estimated time required to complete the audit. The estimate shall be based upon various factors, including, but not limited to, the following:
(1) The number of employees.
(2) Employment classifications.
(3) Benefits.
(4) Contract provisions.
(5) Geographical location.
(6) Time required for audits of comparable entities.
(7) Additional time factors raised by the subject of the audit.
(c) If an audit requires an excess of the time estimated, the board may assess a reasonable charge upon the employer to recover additional costs incurred for the excess time to complete the audit. A contracting agency shall not be assessed for delays during the course of an audit that are reasonably outside of the agency’s control.
(d) The information obtained from an employer shall remain confidential.
(Amended by Stats. 2011, Ch. 107, Sec. 2. (AB 782) Effective January 1, 2012.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 4 - Eligibility › Section 22800.

22800. (a) An employee or annuitant is eligible to enroll in an approved health benefit plan, in accordance with this part and the regulations of the board.
(b) Regulations may provide for the exclusion of employees on the basis of the nature, conditions, and type of their employment, including, but not limited to, short-term appointments, seasonal or intermittent employment, and employment of a like nature. However, no employee may be excluded solely on the basis of the hazardous nature of the employment.
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 4 - Eligibility › Section 22802.

22802. (a) An annuitant whose retirement allowance is not sufficient to pay his or her required contribution for the health benefit plan in which he or she is enrolled may only remain enrolled if the annuitant pays to the board the balance of the contributions plus the related administrative costs, as determined by the board.
(b) (1) The annuitant shall pay the complementary annuitant premium by remitting to the board quarterly payments in advance, or by alternative monthly payment as determined by the board.
(2) The board may charge each annuitant who elects to pay the complementary annuitant premium an initial setup charge and a monthly maintenance charge, in amounts sufficient to ensure the ongoing support of the complementary annuitant premium program.
(3) If payments are not received by the 10th of the month for the following month, coverage shall be terminated and may not be resumed until the next open enrollment period.
(c) Upon receipt of a written application, the benefits provided by this section shall commence on the first day of the month following receipt of the application and the payment required by the board.
(d) The board has no duty to identify, locate, or notify any annuitant who may be eligible for the benefit provided by this section.
(e) Any complementary annuitant premium or any balance of unpaid health benefit plan premiums that accrues and remains unpaid at the time of the death of an annuitant shall be paid in accordance with the sequence prescribed in Section 21506.
(f) All moneys received pursuant to this section shall be deposited in the Public Employees’ Contingency Reserve Fund in the account provided by subdivision (f) of Section 22910.
(Amended by Stats. 2014, Ch. 28, Sec. 50. (SB 854) Effective June 20, 2014.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 4 - Eligibility › Section 22803.

22803. An out-of-state employee shall be eligible for enrollment, in accordance with reasonable rules as the board may prescribe, to receive the benefits provided by this part.
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 4 - Eligibility › Section 22805.

22805. An employee receiving full-time service credit pursuant to Section 20900 may continue enrollment in a health benefit plan.
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 4 - Eligibility › Section 22806.

22806. (a) With respect to state officers and employees, a permanent intermittent employee who has an appointment of more than six months and works at least half-time shall be eligible to enroll in a health benefit plan within 60 calendar days after having been credited with a minimum of 480 paid hours within a designated six-month period. The designated six-month periods are January 1 to June 30, inclusive, and July 1 to December 31, inclusive, of each calendar year. To continue benefits, a permanent intermittent employee must be credited with a minimum of 480 paid hours in a designated six-month period or 960 paid hours in two consecutive periods.
(b) Permanent intermittent employees who are represented by State Bargaining Unit 6 may enroll in a health benefit plan within 60 calendar days following graduation from the academy of the Department of Corrections or the Department of the Youth Authority. To continue benefits, a permanent intermittent employee must be credited with a minimum number of hours, as provided in subdivision (a).
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 4 - Eligibility › Section 22807.

22807. (a) Notwithstanding subdivision (b) of Section 22772, a contracting agency may, by resolution filed with the board, deem all permanent or regular employees, except members of the State Teachers’ Retirement Plan, who have an appointment of six months or longer but are employed less than half-time, to be employees subject to this part.
(b) Notwithstanding subdivision (b) of Section 22772, a contracting agency with employees who are members of the State Teachers’ Retirement Plan may, by resolution filed with the board, deem any of the following to be employees subject to this part:
(1) Regular, permanent, probationary, or temporary employees or substitutes who have an appointment for at least a semester, for six months, or for half of the school year, but are employed less than half-time.
(2) Substitutes who have an appointment for 100 days or more in the school year.
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 4 - Eligibility › Section 22807.5.

22807.5. Notwithstanding subdivision (b) of Section 22772, a contracting agency that is a community college district may, by resolution filed with the board, deem all part-time faculty employees who have an appointment of at least one semester and whose teaching assignment with one or more community college districts equals or exceeds two courses or 40 percent of the cumulative equivalent of a minimum full-time teaching assignment, to be employees subject to this part.
(Added by Stats. 2023, Ch. 195, Sec. 7. (SB 142) Effective September 13, 2023.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 4 - Eligibility › Section 22808.

22808. An employee enrolled in a health benefit plan under this part shall be entitled to have his or her coverage and the coverage of any family members continued for the duration of a leave of absence, upon his or her application and upon assuming payments of the contributions otherwise required of the employer, if any of the following apply:
(a) A leave of absence is granted to the employee without pay under the State Civil Service Act and the rules or regulations of the Department of Human Resources, or other comparable leave.
(b) The employee is laid off and has not yet obtained other employment, for a period of up to one year.
(c) The employee is employed by the California State University and is granted a leave of absence for more than half-time.
(Amended by Stats. 2012, Ch. 665, Sec. 148. (SB 1308) Effective January 1, 2013.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 4 - Eligibility › Section 22809.

22809. An employee of a contracting agency and his or her family members may continue enrollment in a health benefit plan under this part if the employee is granted a leave of absence by the contracting agency for military duty. The coverage may continue for up to one year.
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 4 - Eligibility › Section 22810.

22810. A Member of the Legislature may enroll in a health benefit plan. The contributions of the member shall be the total cost of his or her coverage and the coverage of any family members, less the amount contributed pursuant to Section 8901.6 by the state.
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 4 - Eligibility › Section 22811.

22811. Notwithstanding any other provision of this part, a former Member of the Legislature who has served six or more years as a Member of the Legislature may elect, within 60 days after permanent separation from state service, to enroll or continue enrollment in a health benefit plan and dental care plan provided to annuitants. Upon that election, the former member shall pay the total premiums related to that coverage and an additional 2 percent thereof for the administrative costs incurred by the board and the Department of Human Resources in administering this section.
The health and dental benefits shall be provided without discrimination as to premium rates or benefits coverage. A person who subsequently terminates his or her coverage under this section may not reenroll pursuant to this section.
(Amended by Stats. 2012, Ch. 665, Sec. 149. (SB 1308) Effective January 1, 2013.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 4 - Eligibility › Section 22812.

22812. (a) A former legislative employee who separates from employment while enrolled in a health benefit plan provided by his or her employer, by reason of layoff, involuntary termination, or retirement may enroll in a health benefit plan within 60 days of separation from employment and, thereupon, shall be deemed to have been enrolled on the date of the separation from employment.
(b) An eligible survivor of a legislative employee who was enrolled in a health benefit plan provided by the employer at the time of death may, within 60 days of the death of the employee, enroll in a health benefit plan and, thereupon, shall be deemed to have been enrolled on the date of the employee’s death.
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 4 - Eligibility › Section 22815.

22815. (a) The following persons are eligible for enrollment as provided in this section:
(1) A Member of the Legislature or an elective officer of the state whose office is provided by the California Constitution who meets all of the following conditions:
(A) Has at least eight years of credited service.
(B) Permanently separates from state service on or after January 1, 1988, and more than 10 years before his or her minimum age for service retirement, or is an inactive member of the Legislators’ Retirement System pursuant to Section 9355.2.
(C) Elects to remain a member of a state retirement system supported in whole or in part by state funds, other than the University of California Retirement System.
(2) An exempt employee who meets all of the following conditions:
(A) Has at least 10 years of credited state service that includes at least two years of credited service while an exempt employee.
(B) Permanently separates from state service on or after January 1, 1988, and more than 10 years before his or her minimum age for service retirement.
(C) Elects to remain a member of a state retirement system supported in whole or in part by state funds, other than the University of California Retirement System.
(b) During the period he or she is not yet receiving a retirement allowance, a person described by subdivision (a) may continue enrollment in a health benefit plan or dental care plan without discrimination as to premium rates or benefit coverage, upon assuming payment of the contributions otherwise required of the former employer on account of his or her enrollment and the employee contribution. The person shall also pay an additional 2 percent of the premium amount to cover administrative expenses incurred by the system or the Department of Human Resources. An election to continue coverage under this section shall be made within 60 days of permanent separation.
(c) A person who receives coverage pursuant to this subdivision, and subsequently terminates that coverage, may not be allowed to reenroll and may not enroll as an annuitant pursuant to subdivision (d).
(d) Upon retirement and receipt of a retirement allowance, a person described in subdivision (b) may elect to continue enrollment in a health benefit plan or dental care plan without discrimination as to premium rates or benefit coverage, at which time the state shall assume payment of the employer contribution and the person shall thereafter be deemed an annuitant.
(e) The board has no duty to locate or notify any person who may be eligible to enroll pursuant to this section.
(Amended by Stats. 2012, Ch. 665, Sec. 151. (SB 1308) Effective January 1, 2013.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 4 - Eligibility › Section 22816.

22816. (a) A person who meets all of the criteria of an annuitant, as defined in subdivision (f) or (g) of Section 22760, other than the condition of receiving a retirement allowance under a retirement system supported in whole or in part by state funds, may continue enrollment in a health benefit plan or dental care plan provided to annuitants without discrimination as to premium rates or benefits coverage, upon assuming payment of the contributions otherwise required of the former employer on account of his or her enrollment and the employee contribution. The person shall also pay an additional 2 percent of the premium amount to cover administrative expenses incurred by the system or the Department of Human Resources. An election to continue coverage under this section shall be made within 60 days of permanent separation.
(b) A person who receives coverage pursuant to this subdivision who subsequently terminates that coverage may not reenroll. However, termination under this subdivision does not affect an annuitant’s rights under Section 22817. The benefits authorized by Section 22817 and this section are separate and distinct benefits.
(c) The board has no duty to locate or notify any person who may be eligible to enroll pursuant to this section.
(Amended by Stats. 2012, Ch. 665, Sec. 152. (SB 1308) Effective January 1, 2013.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 4 - Eligibility › Section 22817.

22817. (a) An annuitant, as defined in subdivision (f) or (g) of Section 22760, may, upon assuming payment of the employee contribution, enroll in a health benefit plan or dental care plan without discrimination as to premium rates or benefit coverage, at which time the state shall assume payment of the employer contribution.
(b) The board has no duty to locate or notify any person who may be eligible to enroll pursuant to this section.
(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)
2023 California Code › Government Code - GOV › TITLE 2 - GOVERNMENT OF THE STATE OF CALIFORNIA › DIVISION 5 - PERSONNEL › PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT › CHAPTER 1 - Public Employees Health Benefits › ARTICLE 4 - Eligibility › Section 22818.

22818. (a) In order to receive any benefit provided by this part, an employee or annuitant shall provide, upon request of the board, any of the following:
(1) Proof in a manner designated by the board that the employee or annuitant and his or her domestic partner have filed a valid Declaration of Domestic Partnership pursuant to Section 298.5 of the Family Code or have established a valid domestic partnership, as defined by his or her contracting agency in accordance with subdivision (b) of Section 22771.
(2) A marriage certificate.
(3) A signed statement indicating that the employee or annuitant agrees that he or she may be required to reimburse the employer, the health benefit plan, and the system for any expenditures made for medical claims, processing fees, administrative expenses, and attorney’s fees on behalf of the family member, if any of the submitted documentation is found to be inaccurate or fraudulent.
(b) The employee or annuitant shall notify the employer or the board when a marriage is dissolved or a domestic partnership has terminated, as required by subdivision (c) of Section 299 of the Family Code, or as required by his or her contracting agency in accordance with subdivision (b) of Section 22771.
(Amended by Stats. 2005, Ch. 418, Sec. 17. Effective January 1, 2006.)