Current through Register 2024 Notice Reg. No. 45, November 8, 2024
Section 2699.6141 - Open Enrollment Period for Guaranteed Association Members(a) The program shall provide for an annual open enrollment period which shall last for at least thirty (30) calendar days for guaranteed association members. During this period, enrolled member employees or individual members may transfer from one health benefits plan to another, member employees or individual members may choose to enroll themselves and their dependents in the program and enrolled member employees or individual members may choose to enroll their dependents.(b) Late applicants may enroll during this period.(c) If an employee of a qualified member employer or an individual member who applies during open enrollment is determined not to be eligible by the program, or if a person for whom coverage as a dependent has been requested is determined not to be a dependent, the individual member or the member employer shall be notified of the determination. The member employer shall notify the member employees. The notice shall include the reason for the determination of ineligibility and an explanation of the appeal process. The portion of the individual premium covering amounts owed for coverage to persons found either to be ineligible or not a dependent shall be refunded.(d) For member employees or individual members applying during an open enrollment period, the information required by Section 2699.6139(d) shall be submitted by the employer or individual member. Individual members shall not be required to submit state EDD wage reporting forms.Cal. Code Regs. Tit. 10, § 2699.6141
1. Renumbering and amendment of former section 2699.6242.5 to section 2699.6141 filed 5-27-94; operative 5-27-94 (Register 94, No. 21).
2. Amendment of subsection (d) filed 10-18-95; operative 10-18-95 pursuant to Government Code section 11343.4(d) (Register 95, No. 42). Note: Authority cited: Section 10731, Insurance Code. Reference: Section 10731, Insurance Code.
1. Renumbering and amendment of former section 2699.6242.5 to section 2699.6141 filed 5-27-94; operative 5-27-94 (Register 94, No. 21).
2. Amendment of subsection (d) filed 10-18-95; operative 10-18-95 pursuant to Government Code section 11343.4(d) (Register 95, No. 42).