California Code of Regulations › Title 10 - Investment › Chapter 12 - California Health Benefit Exchange › Article 8 - Enrollment Assistance › Section 6650 - Definitions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) For purposes of
				this Article, the following terms shall have the following associated meanings:
Authorized Contact: The individual appointed by the Certified
				  Enrollment Entity to manage the agreement with the Exchange.
Certified Enrollment Counselor: An individual who is
				  certified by the Exchange pursuant to Section
				  6656 to provide one-on-one
				  Consumer Assistance. A Certified Enrollment Counselor shall be registered in
				  the Navigator Program.
Certified Enrollment Entity: An entity or individual
				  registered by the Exchange to provide one-on-one Consumer Assistance. A
				  Certified Enrollment Entity shall be registered in the Navigator
				  Program.
Consumer: A person or entity seeking information on
				  eligibility and enrollment or seeking application assistance with a health
				  insurance or health related product available through the Exchange. The term
				  consumer includes, but is not limited to, an applicant, an application filer,
				  authorized representative, employer, qualified employee, qualified employer,
				  qualified individual, small employer, or enrollee as defined in Section
				  6410 of Article 2 of this
				  Chapter.
Consumer Assistance: The programs and activities created
				  under 45 C.F.R. §
											155.205(d) to provide
				  one-on-one assistance to consumers.
Navigator: A Certified Enrollment Counselor who is affiliated
				  pursuant to Section
				  6656 with a Certified Enrollment
				  Entity that is registered in the Navigator Program.
Navigator Program: The Program whereby Certified Enrollment
				  Entities are awarded grants for conducting Outreach & Education and
				  Consumer Assistance.
Outreach & Education: The programs and activities created
				  under 45 C.F.R. §
											155.205(e) to educate
				  consumers about the Exchange and insurance affordability programs in order to
				  encourage participation.
Personally Identifiable Information: Any information,
				  including electronic, paper or any other media, that identifies or describes an
				  individual, or can be used to distinguish or trace an individual's identity,
				  including, but not limited to, his or her name, social security number,
				  physical description, date, place of birth, mother's maiden name, home address,
				  home telephone number, education, financial matters, medical or employment
				  history, biometric records, and statements made by, or attributed to, the
				  individual, that alone or when combined with other personal or identifying
				  information can be linked or is linkable to a specific individual. Personally
				  Identifiable Information includes Protected Health Information (PHI), as
				  defined in the Health Insurance Portability and Accountability Act of 1996
				  (42 U.S.C. section
				  1320d -d8).
Primary Contact: The individual appointed by the Certified
				  Enrollment Entity to be a liaison with the Exchange.
1. New article
				  8 (sections
				  6650-6670) and section filed
				  7-15-2013 as an emergency; operative 7-15-2013 (Register 2013, No. 29). A
				  Certificate of Compliance must be transmitted to OAL by 1-13-2014 or emergency
				  language will be repealed by operation of law on the following
				  day.
2. Repealed by operation of Government Code section
				  11346.1(g)
				  (Register 2014, No. 7).
3. New article 8 (sections
				  6650-6670) and section filed
				  2-10-2014 as an emergency pursuant to Government Code section
				  11346.1,
				  subdivision (h); operative 2-10-2014 (Register 2014, No. 7). A Certificate of
				  Compliance must be transmitted to OAL by 5-12-2014 or emergency language will
				  be repealed by operation of law on the following day.
4. New article
				  8 (sections
				  6650-6670) and section refiled
				  5-12-2014 as an emergency pursuant to Government Code section
				  11346.1,
				  subdivision (h); operative 5-12-2014 (Register 2014, No. 20). A Certificate of
				  Compliance must be transmitted to OAL by 8-11-2014 or emergency language will
				  be repealed by operation of law on the following day.
5. New article
				  8 (sections
				  6650-6670) and section refiled
				  with amendments 7-21-2014 as an emergency pursuant to Government Code section
				  100504(a)(6),
				  as modified by Senate Bill 857 (Stats 2014, c. 31); operative 7-21-2014
				  (Register 2014, No. 30). A Certificate of Compliance must be transmitted to OAL
				  by 7-15-2015 pursuant to Government Code section
				  100504 or
				  emergency language will be repealed by operation of law on the following
				  day.
6. Senate Bill 75 (Stats. 2015, Ch. 18) modified Government
				  Code section
				  100504(a)(6)
				  to change the date upon which a Certificate of Compliance must be transmitted
				  to OAL. Pursuant to Government Code section
				  100504(a)(6),
				  as modified by Senate Bill 75 (Stats. 2015, Ch. 18), a Certificate of
				  Compliance must be transmitted to OAL by 2-10-2017 or the language in the
				  emergency order of 7-21-2014 will be repealed by operation of law on the
				  following day (Register 2015, No. 38).
7. Certificate of Compliance
				  as to 7-21-2014 order, including further amendment of section and NOTE,
				  transmitted to OAL 11-6-2015 and filed 12-23-2015 (Register 2015, No.
				  52).
Note: Authority cited: Sections
					 100502 and
					 100504,
					 Government Code. Reference: Sections
					 100502 and
					 100503,
					 Government Code; and 45
					 C.F.R. §§
												155.205 and
					 155.210.