Section 2698.206 - Dependent Coverage(a)(1) Dependents may be enrolled: (A) Within sixty (60) days of the date the individual became the subscriber's dependent; or(B) Within sixty (60) days of the termination of a dependent's other health care coverage.(2) A subscriber wishing to enroll additional dependents shall notify the program in writing of the full names, dates of birth, sex, social security numbers (not mandatory), and relationship of the dependents to be enrolled. Social Security numbers and other personal information are used for identification and administrative purposes.(3) In order for the program to determine that a pre-existing condition exclusion or post-enrollment waiting period should be waived, or partially waived, the subscriber may also provide the documentation required by section 2698.201(e) for each dependent to be added. If no documentation is provided, the dependent shall be subject to the maximum pre-existing condition exclusion or post-enrollment waiting period described in section 2698.303. Dependents age 18 and under are not subject to pre-existing condition exclusion or post-enrollment waiting periods.(4)(A) Coverage for newborns and adopted children eligible pursuant to (a)(1) of this section shall begin upon birth or the date on which the adoptive child's birth parents or other appropriate legal authority signs a written document, including, but not limited to, a health facility minor release report, a medical authorization form, or a relinquishment form, granting the subscriber or the subscriber' spouse or registered domestic partner, the right to control health care for the adoptive child or, absent this written document, on the date there exists evidence of the right of the subscriber or the subscriber's spouse or registered domestic partner, to control the health care of the child placed for adoption.(B) Coverage for all other dependents eligible pursuant to (a)(1) of this section shall begin within 3 months of receipt of the notification to the program from the subscriber, and shall begin on the first day of a month, subject to the provisions of section 2698.303.(5) Subscribers shall be notified in writing by the program of the beginning date of coverage by the subscriber's health plan for enrolled dependents, and, if applicable, of any pre-existing condition exclusion period or post-enrollment waiting period. The notice shall caution the subscriber about discontinuing any existing coverage for dependents until full coverage by the subscriber's health plan has begun.(6) The subscriber contribution shall be adjusted as of a dependent's beginning date of coverage by the program; unless the dependent added was a newborn or an adopted child.(7) The subscriber contribution for a newborn or an adopted child who is enrolled pursuant to (a)(1)(A) of this section shall be adjusted as of the first day of the month following the child's birth or first day of the month following the date on which the adoptive child's birth parents or other appropriate legal authority signs a written document, including, but not limited to, a health facility minor release report, a medical authorization form, or a relinquishment form, granting the subscriber or the subscriber' spouse or registered domestic partner, the right to control health care for the adoptive child or, absent this written document, on the first day of the month following the date there exists evidence of the right of the subscriber or the subscriber's spouse or registered domestic partner, to control the health care of the child placed for adoption.(b)(1) A subscriber wishing to disenroll dependents shall notify the program of the full names, dates of birth, sex, social security numbers, and relationship of the dependents to be disenrolled. Disenrollment of dependents shall be subject to sections 2698.204(a)(1), 2698.204(a)(2) and 2698.204(c).(2) The subscriber contribution shall be adjusted, if applicable, as of the date of a dependent's disenrollment by the program.Cal. Code Regs. Tit. 10, § 2698.206
1. New section filed 12-20-90 as an emergency; operative 12-20-90 (Register 91, No. 11). A Certificate of Compliance must be transmitted to OAL by 4-19-91 or emergency language will be repealed by operation of law on the following day.
2. Certificate of Compliance as to 12-20-90 order including amendment of subsection (a) transmitted to OAL on 4-18-91 and filed 5-17-91 (Register 91, No. 27).
3. Editorial correction of printing error (Register 91, No. 27).
4. Amendment of subsection (b)(3) and NOTE filed 4-23-96; operative 5-23-96 (Register 96, No. 17).
5. Amendment of section heading and section filed 8-4-2003 as an emergency; operative 8-4-2003 (Register 2003, No. 32). Amendments to remain in effect for 180 days pursuant to section 21, chapter 794, Statutes of 2002 (AB 1401). A Certificate of Compliance must be transmitted to OAL by 2-2-2004 or emergency language will be repealed by operation of law on the following day.
6. Certificate of Compliance as to 8-4-2003 order transmitted to OAL 1-23-2004 and filed 3-1-2004 (Register 2004, No. 10).
7. Amendment of subsections (a)(4)(A) and (a)(7) and amendment of NOTE filed 1-14-2009; operative 2-13-2009 (Register 2009, No. 3). Note: Authority cited: Sections 12711 and 12712, Insurance Code. Reference: Section 12729, Insurance Code; and Sections 297, 299 and 299.2, Family Code.
1. New section filed 12-20-90 as an emergency; operative 12-20-90 (Register 91, No. 11). A Certificate of Compliance must be transmitted to OAL by 4-19-91 or emergency language will be repealed by operation of law on the following day.
2. Certificate of Compliance as to 12-20-90 order including amendment of subsection (a) transmitted to OAL on 4-18-91 and filed 5-17-91 (Register 91, No. 27).
3. Editorial correction of printing error (Register 91, No. 27).
4. Amendment of subsection (b)(3) and Note filed 4-23-96; operative 5-23-96 (Register 96, No. 17).
5. Amendment of section heading and section filed 8-4-2003 as an emergency; operative 8-4-2003 (Register 2003, No. 32). Amendments to remain in effect for 180 days pursuant to section 21, chapter 794, Statutes of 2002 (AB 1401). A Certificate of Compliance must be transmitted to OAL by 2-2-2004 or emergency language will be repealed by operation of law on the following day.
6. Certificate of Compliance as to 8-4-2003 order transmitted to OAL 1-23-2004 and filed 3-1-2004 (Register 2004, No. 10).
7. Amendment of subsections (a)(4)(A) and (a)(7) and amendment of Note filed 1-14-2009; operative 2-13-2009 (Register 2009, No. 3).