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. 28, July 12, 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				  language will be repealed by operation of law on the following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.