100503.4. (a) Upon receipt of an individual’s electronic account pursuant to subdivision (h) of Section 15926 of the Welfare and Institutions Code from the insurance affordability program coverage, as specified in subparagraphs (A) and (B) of paragraph (3) of subdivision (a) of Section 15926 of the Welfare and Institutions Code, the Exchange shall use the available information to enroll the individual or individuals in the lowest cost silver plan available, unless the Exchange has information from the county, State Department of Health Care Services, managed care plan, or another plan as determined by the Exchange that enables the Exchange to enroll the individual with the individual’s previous managed care plan within the timeframe required by subdivision (b).
(b) Plan enrollment shall occur before the termination date of coverage through the insurance affordability program.
(c) The plan’s premium due date shall be no sooner than the last day of the first month of enrollment.
(d) The Exchange shall provide an individual who is enrolled in a plan pursuant to this section with a notice that includes the following information:
(1) The plan in which the individual is enrolled.
(2) The individual’s right to select another available plan and any relevant deadlines for that selection.
(3) How to receive assistance to select a plan.
(4) The individual’s right not to enroll in the plan.
(5) Information for an individual appealing their previous coverage through an insurance affordability program.
(6) A statement that services received during the first month of enrollment will only be covered by the plan if the premium is paid by the due date.
(e) This section shall be implemented no later than July 1, 2021.
(Added by Stats. 2019, Ch. 845, Sec. 1. (SB 260) Effective January 1, 2020.)
Structure California Code