Section 2699.6161 - Effective Date of Coverage for Member Employees(a) For enrolled member employees and their dependents the effective date of coverage shall be as follows: (1) For enrollees whose eligibility determination was made pursuant to Section 2699.6133(b) the effective date of coverage shall be within twenty (20) calendar days of a determination of eligibility.(2) For enrollees who enroll or transfer pursuant to Section 2699.6141 the effective date of coverage shall be established by the program and shall be no later than forty-five (45) calendar days following the end of the open enrollment period.(3) For enrollees who were enrolled pursuant to Section 2699.6147 the effective date of coverage shall be determined by the program and shall be no later than forty-five (45) calendar days from the receipt of a complete application.(4) For newborn or adopted children that are dependents, the effective date of coverage shall be upon birth or adoption of the child. The effective date for coverage for stepchildren that are dependents shall be upon marriage by a member employee or individual member to the stepchild's parent. The effective date for coverage of a spouse shall be upon marriage.(b) The program shall notify the member employer and the qualified guaranteed association of the effective date and the program shall also notify the participating carrier(s) of the effective date of coverage.Cal. Code Regs. Tit. 10, § 2699.6161
1. Renumbering and amendment of former section 2699.625.5 to section 2699.6161 filed 5-27-94; operative 5-27-94 (Register 94, No. 21).
2. Amendment of section heading and subsection (a)(3) 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 A Certificate of Compliance must be transmitted to OAL 4-28-95 or emergency language will be repealed by operation of law on the following day.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: Section 10731, Insurance Code.
1. Renumbering and amendment of former section 2699.625.5 to section 2699.6161 filed 5-27-94; operative 5-27-94 (Register 94, No. 21).
2. Amendment of section heading and subsection (a)(3) 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 A Certificate of Compliance must be transmitted to OAL 4-28-95 or emergency language will be repealed by operation of law on the following day.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).