Section 2699.6131 - Initial Sole Employer Qualification and Sole Employee Enrollment Period(a) Upon receipt of a complete application, the program shall determine the sole employer's qualification for the program, determine the eligibility of each of the sole employer's employees that apply for coverage, and determine whether each person for whom coverage as a dependent has been requested is a dependent. The program may rely upon the application to determine the sole employer's qualification; this determination shall be made within ten calendar days of receipt of the complete application.(b) Sole employers determined not qualified for the program will be notified in writing by the program. The notice shall include the reason for the determination of disqualification and an explanation of the appeal process. The sole employer's initial premium shall be refunded.(c) If an employee of a qualified sole employer is determined by the program not to be a sole employee as of the effective date of coverage, or if a person for whom coverage as a dependent has been requested is determined not to be a dependent, the sole employer shall be notified of the determination and the sole employer shall notify the employee. The notice shall include the reason for the determination of ineligibility and an explanation of the appeal process. The portion of the sole employer's initial premium covering amounts owed for coverage to persons found either to be ineligible or not a dependent shall be refunded.Cal. Code Regs. Tit. 10, § 2699.6131
1. Renumbering and amendment of former section 2699.624 to section 2699.6131 filed 5-27-94; operative 5-27-94 (Register 94, No. 21).
2. Amendment of subsection (c) filed 12-29-94 as an emergency; operative 12-29-94 (Register 94, No. 52). A Certificate of Compliance must be transmitted to OAL 4-28-95 or emergency language will be repealed by operation of law on the following day.
3. Certificate of Compliance as to 12-29-94 order transmitted to OAL 4-12-95 and filed 5-22-95 (Register 95, No. 21). Note: Authority cited: Section 10731, Insurance Code. Reference: Sections 10731 and 10741, Insurance Code.
1. Renumbering and amendment of former section 2699.624 to section 2699.6131 filed 5-27-94; operative 5-27-94 (Register 94, No. 21).
2. Amendment of subsection (c) filed 12-29-94 as an emergency; operative 12-29-94 (Register 94, No. 52). A Certificate of Compliance must be transmitted to OAL 4-28-95 or emergency language will be repealed by operation of law on the following day.
3. Certificate of Compliance as to 12-29-94 order transmitted to OAL 4-12-95 and filed 5-22-95 (Register 95, No. 21).