California Code of Regulations › Title 10 - Investment › Chapter 5.8 - Managed Risk Medical Insurance Board Healthy Families Program › Article 2 - Eligibility, Application, and Enrollment › Section 2699.6631 - Initial Enrollment Period for Child-Linked Adults

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
There shall be an initial enrollment period for child linked
				  adults ending one year after the parental coverage start date. Thereafter,
				  enrollment may only occur at a qualifying event as defined in Section
				  2699.6500.
(a) The program shall provide notification to
				the applicants of subscriber children enrolled prior to the parental coverage
				start date in households with incomes at or below 200 percent of the federal
				poverty level. Notification shall be sent to the address on record and shall
				include an explanation of program expansions to include child-linked adults,
				and instructions to complete and return to the program the form provided by the
				program, documentation of citizenship or immigration status pursuant to
				2699.6600(c)(1)(T), and the appropriate family contribution for
				enrollment.
(b) For the first year
				following the parental coverage start date, for all applications for the
				program for children only where one or more children enrolled in the program
				live in households with incomes at or below 200 percent of the federal poverty
				level, the applicant shall be notified of program expansions to include
				child-linked adults and shall be provided the opportunity to submit the
				additional information to the program. The notification shall include
				instructions to complete and return to the program the form provided by the
				program, documentation of citizenship or immigration status pursuant to
				2699.6600(c)(1)(T), and the appropriate family contribution for
				enrollment.
(c) For the first year
				following the parental coverage start date, the applicant shall be provided the
				opportunity to submit the form provided by the program pursuant to this section
				and the appropriate family contribution. Beginning one year after the parental
				coverage start date, applicants must use an application or an Add a Person Form
				to request enrollment for a child or child-linked adult in the
				program.
(d) Except as provided in
				this section, the program shall determine eligibility and enroll child-linked
				adults pursuant to the process established for application to the
				program.
(e) Notwithstanding
				Section 2699.6625(e), the
				annual eligibility review date for the subscriber parent enrolled pursuant to
				Section 2699.6631 shall be the same as for
				the subscriber child through whom the subscriber parent became
				eligible.
1. New section
				  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.
2. Certificate of
				  Compliance as to 4-29-2002 order transmitted to OAL 10-28-2002 and filed
				  12-12-2002 (Register 2002, No. 50).
3. Amendment of subsections
				  (a)-(c) filed 7-1-2004 as an emergency; operative 7-1-2004 (Register 2004, No.
				  27). Pursuant to Section
				  80, A.B. 1762 (Chapter 230, Stats.
				  2003) a Certificate of Compliance must be transmitted to OAL by 12-28-2004 or
				  emergency language will be repealed by operation of law on the following
				  day.
4. Certificate of Compliance as to 7-1-2004 order transmitted
				  to OAL 11-24-2004 and filed 1-7-2005 (Register 2005, No.
				  1).
Note: Authority cited: Sections
					 12693.21
					 and
					 12693.755,
					 Insurance Code. Reference: Sections
					 12693.21
					 and
					 12693.755,
					 Insurance Code.