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 2699.6813 - Family Contribution Payment for the Program

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Family contribution payment procedures for applicants shall
				  be as follows unless the applicant or person for whom application is being made
				  is an American Indian or Alaska Native and submits acceptable documentation as
				  described in Subsection
				  2699.6600(c)(1)(GG),
				  or unless the applicant has a family contribution sponsor:
(a) The family child contributions and family
				parent contributions will be applied for one (1) month or four (4) months, as
				applicable, starting with the first day of the first full month of coverage. If
				the applicant or person for whom application is being made is an American
				Indian or Alaska Native, the family contributions shall not be assessed until
				the first day of the first full month following the end of the second month of
				enrollment during which the applicant has not provided acceptable documentation
				as described in Subsection
				2699.6600(c)(1)(GG).
(b) Applicants shall submit their subsequent
				family contributions to the program so that they are received no later than the
				monthly due date set by the program.
(c) The program shall apply monies paid first
				to the family child contributions due, then to the family parent contributions
				due. Remaining monies shall be applied first to the family child contribution
				up to the level necessary to earn a free month of coverage, then to the family
				parent contribution up to the level necessary to earn a free month of coverage,
				except as provided under Subsection
				2699.6605(b)(1).
(d) Applicants who want to receive the one
				month family contribution discount pursuant to Subsection
				2699.6809(c) and
				(d) must submit their family child
				contributions, if applicable, and/or family parent contributions, if
				applicable, at the same time and for the same three (3) month period so that
				they are received no later than the due date set by the program for the first
				of the three (3) months.
(e) For
				each month any family contributions are due, the program shall notify the
				applicant of the amount of the family contributions due to the program, the due
				date, and the subscribers for whom the family contributions are being paid.
				This notification shall be made at least fifteen (15) calendar days in advance
				of the family contributions due date.
(f) The applicant's obligation to submit the
				family contributions is not contingent upon receipt of the notice specified in
				subdivision (d) above. If the applicant does not receive the notice specified
				in subdivision (d) above, the applicant shall call the program to determine the
				amount of the family contributions and shall submit a payment of that
				amount.
(g) Applicants shall make
				family contributions in one or more of the following ways: personal check,
				cashiers check, money order, credit card, debit card, electronic fund transfer,
				or in cash at designated locations. If a family contribution is paid by a
				personal check that has been returned for non-sufficient funds, the Program may
				specify the form of payment that it will accept for the overdue family
				contribution.
(h) If a subscriber
				is disenrolled pursuant to Subsection
				2699.6611(a), the
				applicant will be refunded the unused portion of the family contributions,
				except as provided in Section
				2699.6815(e) and
				Section 2699.6819(c).
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
				  first paragraph filed 3-21-2000 as an emergency; operative 3-21-2000 (Register
				  2000, No. 12). A Certificate of Compliance must be transmitted to OAL by
				  7-19-2000 or emergency language will be repealed by operation of law on the
				  following day.
4. Certificate of Compliance as to 3-21-2000 order
				  transmitted to OAL 6-23-2000 and filed 7-17-2000 (Register 2000, No.
				  29).
5. Amendment of first paragraph and subsection (a) filed
				  9-5-2000; operative 9-5-2000 pursuant to Government Code 11343.4(d) (Register
				  2000, No. 36).
6. 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.
7. Certificate of
				  Compliance as to 4-29-2002 order, including amendment of subsection (c),
				  transmitted to OAL 10-28-2002 and filed 12-12-2002 (Register 2002, No.
				  50).
8. Amendment of first paragraph and subsection (a) 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.
9. Certificate of Compliance as to 7-31-2003 order transmitted
				  to OAL 11-17-2003 and filed 12-30-2003 (Register 2004, No. 1).
10.
				  Amendment of first paragraph and subsection (a) 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.
11. Certificate of Compliance as to 7-1-2004 order transmitted
				  to OAL 11-24-2004 and filed 1-7-2005 (Register 2005, No. 1).
12.
				  Amendment of subsection (a) deemed an emergency and exempt from OAL review
				  pursuant to Section
				  75 of Chapter 74, Statutes of
				  2006, filed 7-31-2007; operative 7-31-2007 (Register 2007, No. 31). A
				  Certificate of Compliance must be transmitted to OAL by 1-28-2008 or emergency
				  language will be repealed by operation of law on the following
				  day.
13. Certificate of Compliance as to 7-31-2007 order transmitted
				  to OAL 1-28-2008 and filed 3-12-2008 (Register 2008, No.
				  11).
Note: Authority cited: Sections
					 12693.21
					 and
					 12693.755,
					 Insurance Code. Reference: Sections
					 12693.21,
					 12693.43
					 and
					 12693.755,
					 Insurance Code.