Section 2698.403 - Subscriber Contribution PaymentsSubscriber contribution payment procedures shall be as follows:
(a) Each month the program shall determine the amount of the subscriber contribution in accordance with sections 2698.400 and 2698.401 and notify the subscriber or dependent subscriber of the subscriber contribution amount due to the program and the due date. The program shall send the notice at least 30 days in advance of the due date.(b) A subscriber or dependent subscriber shall submit the subscriber contribution to the program each month so that it is received no later than the first of each month for that month of coverage.(c) The obligation to submit the subscriber contribution amount required by subsection (b) above is not contingent upon receipt of the notice specified in subsection (a). If the subscriber or dependent subscriber does not receive the notice specified in subsection (a) above, the subscriber or dependent subscriber shall make a good faith effort to determine the amount of the subscriber contribution and shall submit a payment of that amount by the due date.(d) The subscriber contribution amount shall be calculated based on the subscriber's or the dependent subscriber's age as defined in section 2698.400.(e) Adjustments to the subscriber contribution amount due to a change in the subscriber's or the dependent subscriber's age group as defined in section 2698.400 shall occur on the first day of the month following the subscriber's or the dependent subscriber's birth date.(f) The subscriber contribution amount for a dependent subscriber shall be adjusted on the first of the month following the dependent's divorce, or the subscriber's disenrollment from the program. The adjusted subscriber contribution amount shall be calculated based on the dependent subscriber's age as defined in section 2698.400.Cal. Code Regs. Tit. 10, § 2698.403
1. New section filed 4-23-96; operative 5-23-96 (Register 96, No. 17).
2. Amendment 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 A Certificate of Compliance must be transmitted to OAL by 2-2-2004 or emergency language will be repealed by operation of law on the following day.
3. Certificate of Compliance as to 8-4-2003 order transmitted to OAL 1-23-2004 and filed 3-1-2004 (Register 2004, No. 10). Note: Authority cited: Sections 12711 and 12712, Insurance Code. Reference: Section 12737, Insurance Code.
1. New section filed 4-23-96; operative 5-23-96 (Register 96, No. 17).
2. Amendment 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.
3. Certificate of Compliance as to 8-4-2003 order transmitted to OAL 1-23-2004 and filed 3-1-2004 (Register 2004, No. 10).