California Code
DIVISION 5 - PERSONNEL
PART 5 - THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT

CHAPTER 1 - Public Employees Health Benefits

ARTICLE 1 - General Provisions

Section 22750. - 22750. This part may be cited as the Public Employees’...

Section 22751. - 22751. It is the purpose of this part to do...

Section 22753. - 22753. The provisions of this part shall be controlling over...

Section 22755. - 22755. The provisions of this part shall become operative with...

ARTICLE 2 - Definitions

Section 22760. - 22760. “Annuitant” means: (a) A person, other than a National...

Section 22762. - 22762. “Board” means the Board of Administration of the Public...

Section 22764. - 22764. “Carrier” means a private insurance company holding a valid...

Section 22766. - 22766. “Complementary annuitant premium” means the additional amount to be...

Section 22768. - 22768. “Contracting agency” means an entity that meets the eligibility...

Section 22770. - 22770. “Domestic partner” means an adult in a domestic partnership,...

Section 22771. - 22771. A “domestic partnership” means either of the following: (a)...

Section 22772. - 22772. (a) “Employee” means: (1) An officer or employee of...

Section 22773. - 22773. “Employer” means the state or any contracting agency that...

Section 22774. - 22774. “Exempt employee” means an employee exempt from civil service...

Section 22775. - 22775. “Family member” means an employee’s or annuitant’s spouse or...

Section 22777. - 22777. “Health benefit plan” means any program or entity that...

Section 22778. - 22778. “Medicare health benefit plan” means a health benefit plan...

Section 22779. - 22779. “Out-of-state employee” means an employee permanently assigned to perform...

Section 22781. - 22781. “Prefunding” means the making of periodic payments by an...

Section 22783. - 22783. “School employer” means a contracting agency that is a...

Section 22785. - 22785. “Special district” means a nonprofit, self-governed public agency located...

Section 22787. - 22787. “System” means the California Public Employees’ Retirement System. (Added...

ARTICLE 3 - The Board of Administration

Section 22790. - 22790. The provisions of this part shall be administered by...

Section 22792. - 22792. All laws governing the organization, procedures, and administrative duties...

Section 22793. - 22793. The board shall, in accordance with this part, approve...

Section 22794. - 22794. The board shall have all powers reasonably necessary to...

Section 22795. - 22795. Irrespective of the provisions of Sections 1090 and 1091,...

Section 22796. - 22796. (a) The board shall, pursuant to the Administrative Procedure...

Section 22797. - 22797. (a) The board or an authorized representative may perform...

ARTICLE 4 - Eligibility

Section 22800. - 22800. (a) An employee or annuitant is eligible to enroll...

Section 22802. - 22802. (a) An annuitant whose retirement allowance is not sufficient...

Section 22803. - 22803. An out-of-state employee shall be eligible for enrollment, in...

Section 22805. - 22805. An employee receiving full-time service credit pursuant to Section...

Section 22806. - 22806. (a) With respect to state officers and employees, a...

Section 22807. - 22807. (a) Notwithstanding subdivision (b) of Section 22772, a contracting...

Section 22808. - 22808. An employee enrolled in a health benefit plan under...

Section 22809. - 22809. An employee of a contracting agency and his or...

Section 22810. - 22810. A Member of the Legislature may enroll in a...

Section 22811. - 22811. Notwithstanding any other provision of this part, a former...

Section 22812. - 22812. (a) A former legislative employee who separates from employment...

Section 22814. - 22814. (a) A judge who retires pursuant to Chapter 11...

Section 22814. - 22814. (a) A judge who retires pursuant to Chapter 11...

Section 22814. - 22814. (a) A judge who retires pursuant to Chapter 11...

Section 22815. - 22815. (a) The following persons are eligible for enrollment as...

Section 22816. - 22816. (a) A person who meets all of the criteria...

Section 22817. - 22817. (a) An annuitant, as defined in subdivision (f) or...

Section 22818. - 22818. (a) In order to receive any benefit provided by...

Section 22819. - 22819. (a) A family member of a deceased employee of...

Section 22819.1. - 22819.1. (a) A family member of a deceased annuitant who...

Section 22820. - 22820. (a) Upon the death, on or after January 1,...

Section 22822. - 22822. No person is eligible for enrollment in a health...

Section 22823. - 22823. (a) Notwithstanding Section 10270.5 of the Insurance Code, an...

Section 22825. - 22825. (a) An annuitant is not eligible to participate in...

Section 22826. - 22826. For purposes of this part, service credit shall be...

ARTICLE 5 - Enrollment and Coverage

Section 22830. - 22830. (a) An employee or annuitant, under eligibility rules as...

Section 22831. - 22831. (a) An annuitant may, as provided by regulations of...

Section 22832. - 22832. A permanent intermittent employee and an employee who works...

Section 22834. - 22834. (a) An out-of-state employee who separates from service and...

Section 22836. - 22836. An employee enrolled in a health benefit plan who...

Section 22837. - 22837. In the case of the death of an employee...

Section 22838. - 22838. (a) An annuitant who reinstates from retirement pursuant to...

Section 22839. - 22839. Thirty days prior to, or 60 days following, retirement...

Section 22840. - 22840. (a) Notwithstanding any other provision of law, a state...

Section 22841. - 22841. (a) A transfer of enrollment from one health benefit...

Section 22842. - 22842. A change in coverage based on a change in...

Section 22843. - 22843. If an employee or annuitant has a spouse or...

Section 22844. - 22844. (a) Employees, annuitants, and family members who become eligible...

Section 22846. - 22846. (a) The regulations of the board shall provide for...

Section 22847. - 22847. (a) Subject to subdivisions (b) and (c), if the...

Section 22848. - 22848. An employee or annuitant who is dissatisfied with any...

Section 22849. - 22849. (a) Notwithstanding Section 22846, the Legislature shall, upon the...

ARTICLE 6 - Health Benefit Plans and Contracts

Section 22850. - 22850. (a) The board may, without compliance with any provision...

Section 22850.5. - 22850.5. (a) In performing the duties prescribed by Section 22850,...

Section 22851. - 22851. The board may enter into any joint purchasing arrangement...

Section 22852. - 22852. (a) A contract for a health benefit plan shall...

Section 22853. - 22853. (a) Each contract shall contain a detailed statement of...

Section 22853.1. - 22853.1. (a) A health benefit plan or contract shall provide...

Section 22853.3. - 22853.3. Commencing January 1, 2024, a health benefit plan or...

Section 22853.4. - 22853.4. Commencing January 1, 2024, a health benefit plan or...

Section 22854. - 22854. (a) The board, in considering a contract with any...

Section 22854.5. - 22854.5. (a) A health benefit plan or contractor, or an...

Section 22855. - 22855. The board shall withdraw its approval of a health...

Section 22857. - 22857. (a) Notwithstanding any other provision of law, the board...

Section 22859. - 22859. (a) A health benefit plan or contract may not...

Section 22860. - 22860. It is the policy of the Legislature that benefits...

Section 22863. - 22863. (a) The board shall make available to employees and...

Section 22864. - 22864. (a) Premiums charged for enrollment in a health benefit...

Section 22865. - 22865. Not later than 30 days prior to the approval...

Section 22866. - 22866. (a) The board shall report to the Legislature and...

Section 22867. - 22867. The provisions of this article do not supersede, modify,...

Section 22869. - 22869. Information disseminated by the board pursuant to Section 22863,...

ARTICLE 7 - State Contributions

Section 22870. - 22870. (a) The state and each employee or annuitant shall...

Section 22871. - 22871. (a) The employer contribution, with respect to each employee...

Section 22871.3. - 22871.3. (a) The employer contribution for each annuitant enrolled in...

Section 22871.5. - 22871.5. (a) Notwithstanding Section 22871, the employer contribution with respect...

Section 22871.6. - 22871.6. (a) Notwithstanding Section 22871, subdivision (b) of Section 22871.5,...

Section 22871.7. - 22871.7. (a) Notwithstanding Section 22871, subdivision (b) of Section 22871.5,...

Section 22871.8. - 22871.8. (a) Notwithstanding Section 22871, subdivision (b) of Section 22871.5,...

Section 22871.9. - 22871.9. (a) Notwithstanding Section 22871, subdivision (b) of Section 22871.5,...

Section 22872. - 22872. If an out-of-state employee is enrolled in a health...

Section 22873. - 22873. (a) Notwithstanding Section 22871, a state employee first hired...

Section 22874. - 22874. (a) Notwithstanding Sections 22870, 22871, and 22873, a state...

Section 22874.1. - 22874.1. (a) Notwithstanding Sections 22870, 22871, 22873, and 22874, a...

Section 22874.2. - 22874.2. (a) Notwithstanding Sections 22870, 22871, 22873, and 22874, a...

Section 22874.3. - 22874.3. (a) Notwithstanding Sections 22870, 22871, 22873, and 22874, a...

Section 22874.4. - 22874.4. (a) Notwithstanding Sections 22870, 22871, and 22873, a judicial...

Section 22874.5. - 22874.5. (a) Notwithstanding Sections 22870, 22871, 22873, and 22874, a...

Section 22874.6. - 22874.6. (a) Notwithstanding Section 22870, the following employees of the...

Section 22874.7. - 22874.7. (a) Notwithstanding Section 22870, an employee who is first...

Section 22874.8. - 22874.8. (a) Notwithstanding Section 22870, an employee who is first...

Section 22874.9. - 22874.9. (a) Notwithstanding Sections 22870, 22871, 22873, and 22874, a...

Section 22875. - 22875. (a) Notwithstanding Sections 22870, 22871, 22873, and 22874, a...

Section 22875.5. - 22875.5. (a) If the state has assumed from a public...

Section 22876. - 22876. (a) For the purpose of meeting the vesting requirements...

Section 22877. - 22877. (a) As used in this section, the following definitions...

Section 22878. - 22878. A health benefit plan offered by the California Association...

Section 22879. - 22879. (a) The board shall pay monthly to an employee...

Section 22880. - 22880. The contributions of each employee and annuitant shall be...

Section 22881. - 22881. From the General Fund in the State Treasury, there...

Section 22883. - 22883. (a) Each fund in the State Treasury, other than...

Section 22885. - 22885. (a) The state shall, in addition to the contributions...

Section 22889. - 22889. Any person or entity subject to the requirements of...

ARTICLE 8 - Contracting Agency Contributions

Section 22890. - 22890. (a) The contracting agency and each employee or annuitant...

Section 22892. - 22892. (a) The employer contribution of a contracting agency shall...

Section 22893. - 22893. (a) Notwithstanding Section 22892, the percentage of employer contribution...

Section 22893.1. - 22893.1. (a) Notwithstanding any other provision of this part, the...

Section 22894. - 22894. (a) Notwithstanding any other provision of this part, the...

Section 22895. - 22895. (a) Notwithstanding any other provision of this part, a...

Section 22896. - 22896. (a) Notwithstanding Section 22892, the percentage of employer contribution...

Section 22897. - 22897. (a) Notwithstanding any other provision of this part, a...

Section 22898. - 22898. (a) Notwithstanding any other provision of this part, the...

Section 22899. - 22899. (a) The contributions required of a contracting agency, along...

Section 22900. - 22900. (a) Notwithstanding any other provision of this part, the...

Section 22901. - 22901. Each contracting agency shall contribute to the Public Employees’...

Section 22902. - 22902. (a) For the purposes of this section, the term...

Section 22905. - 22905. Any person or entity subject to the requirements of...

ARTICLE 9 - Maintenance of Funds

Section 22910. - 22910. (a) There shall be maintained in the State Treasury...

Section 22910.5. - 22910.5. (a) For purposes of this section, the following definitions...

Section 22911. - 22911. (a) There shall be maintained in the State Treasury...

Section 22913. - 22913. (a) The Controller shall suitably identify and remit the...

Section 22915. - 22915. There is in the State Treasury the State Annuitants’...

ARTICLE 10 - Contracting with Public Agencies

Section 22920. - 22920. The following entities are eligible to obtain a health...

Section 22922. - 22922. (a) A contracting agency and its employees and annuitants...

Section 22927. - 22927. Notwithstanding any other provision of this part, a contracting...

Section 22928. - 22928. When a hospital becomes a contracting agency pursuant to...

Section 22930. - 22930. If the board administers a specialized health benefit plan,...

Section 22931. - 22931. Annuitants that receive benefits under this part and are...

Section 22932. - 22932. A contracting agency shall perform the functions necessary to...

Section 22934. - 22934. (a) A contracting agency that has elected to be...

Section 22937. - 22937. A contracting agency may elect, by amending its contract...

Section 22938. - 22938. A contracting agency that has elected to be subject...

Section 22939. - 22939. The board may terminate the participation of a contracting...

ARTICLE 11 - Prefunding Plan for Health Care Coverage for Annuitants

Section 22940. - 22940. (a) There is in the State Treasury the Annuitants’...

Section 22942. - 22942. For purposes of this article, the following definitions shall...

Section 22943. - 22943. An employer authorized by the board may elect to...

Section 22944. - 22944. The board may, in its discretion and upon terms...

Section 22944.2. - 22944.2. (a) A contract entered into between an employer and...

Section 22944.3. - 22944.3. (a) Any amount that would otherwise be used to...

Section 22944.5. - 22944.5. (a) (1) The state and employees in State Bargaining...

Section 22944.6. - 22944.6. (a) (1) In addition to the appropriation required for...

CHAPTER 2 - Recovery of Medical Costs

Section 22945. - 22945. (a) The purpose of this chapter is to establish...

Section 22946. - 22946. As used in this chapter: (a) “Health benefits trust”...

Section 22947. - 22947. (a) A health benefits trust may assert a lien...

Section 22948. - 22948. (a) A court or arbitrator having jurisdiction over a...