California Administrative Code

(a) The date of receipt of project information by the Commission shall be the date when information of the nature described in Section 6050(c) of this Article sufficient to enable Commission determinations pursuant to Section 91531 of the Act has been received. (b) The Commission…

§ 6110. Locations of Offices. [Repealed] This database is current through 5/1/26 Register 2026, No. 18. Source: https://govt.westlaw.com/calregs/Document/I0B6470055C3011EC9C68000D3A7C4BC3?viewType=FullText&originationContext=documenttoc&transitionType=CategoryPageItem&contextData…

§ 6120. Definitions. [Repealed] This database is current through 5/1/26 Register 2026, No. 18. Source: https://govt.westlaw.com/calregs/Document/I0B66E10A5C3011EC9C68000D3A7C4BC3?viewType=FullText&originationContext=documenttoc&transitionType=CategoryPageItem&contextData=(sc.Defa…

(a) A qualified individual may enroll in a QHP (and an enrollee may change QHPs) only during, and in accordance with the coverage effective dates related to, the following periods: (1) The initial open enrollment period, as specified in Section 6502; (2) The annual open enrollmen…

§ 6426. 4th Quarter 2015 SHOP Exchange Plans. [Repealed] This database is current through 5/1/26 Register 2026, No. 18. Source: https://govt.westlaw.com/calregs/Document/I0C0CBDFD5C3011EC9C68000D3A7C4BC3?viewType=FullText&originationContext=documenttoc&transitionType=CategoryPage…

§ 6428. Qualified Health Plan (QHP) Issuer Recertification Application for Plan Year 2016 Dated January 15, 2015. [Repealed] This database is current through 5/1/26 Register 2026, No. 18. Source: https://govt.westlaw.com/calregs/Document/I0C1178E85C3011EC9C68000D3A7C4BC3?viewType…

§ 6432. 2016 Standard Benefit Plan Designs. [Repealed] This database is current through 5/1/26 Register 2026, No. 18. Source: https://govt.westlaw.com/calregs/Document/I0C19B64A5C3011EC9C68000D3A7C4BC3?viewType=FullText&originationContext=documenttoc&transitionType=CategoryPageIt…

§ 6434. Qualified Dental Plan (QDP) Issuer Recertification Application for Plan Year 2016 Dated March 5, 2015. [Repealed] This database is current through 5/1/26 Register 2026, No. 18. Source: https://govt.westlaw.com/calregs/Document/I0C1E71365C3011EC9C68000D3A7C4BC3?viewType=Fu…

§ 6444. Protest Process. [Repealed] This database is current through 5/1/26 Register 2026, No. 18. Source: https://govt.westlaw.com/calregs/Document/I0C2B698B5C3011EC9C68000D3A7C4BC3?viewType=FullText&originationContext=documenttoc&transitionType=CategoryPageItem&contextData=(sc.…

§ 6446. Pediatric Dental Health Plan Solicitation. [Repealed] This database is current through 5/1/26 Register 2026, No. 18. Source: https://govt.westlaw.com/calregs/Document/I0C30247A5C3011EC9C68000D3A7C4BC3?viewType=FullText&originationContext=documenttoc&transitionType=Categor…

Words in this chapter shall have their usual meaning unless the context or a definition clearly indicates a different meaning. “Shall” is used in the mandatory sense. “May” is used in the permissive sense. “Should” is used to indicate suggestion or recommendation.

§ 6458. 2014 Standard Benefit Plan Designs. [Repealed] This database is current through 5/1/26 Register 2026, No. 18. Source: https://govt.westlaw.com/calregs/Document/I0C6628935C3011EC9C68000D3A7C4BC3?viewType=FullText&originationContext=documenttoc&transitionType=CategoryPageIt…

(a) A qualified individual may enroll in a QHP, or an enrollee may change QHPs, only during the initial open enrollment period, as specified in subdivision (b) of this section, the annual open enrollment period, as specified in subdivision (d) of this section, or a special enroll…

§ 6460. 2015 Standard Benefit Plan Designs. [Repealed] This database is current through 5/1/26 Register 2026, No. 18. Source: https://govt.westlaw.com/calregs/Document/I0C6AE3865C3011EC9C68000D3A7C4BC3?viewType=FullText&originationContext=documenttoc&transitionType=CategoryPageIt…

(a) Definitions. For purposes of this section, the following terms shall have the following meanings: (1) RIDP: Remote Identity Proofing service; (2) FDSH: Federal Data Service Hub; (3) Certified Representative: (A) Service Center Representative: An Exchange employee operating in…

(a) On or before each September 1, Covered California shall publish the average statewide monthly premium for an individual for the following calendar year for a Covered California bronze health insurance plan on its public website. (b) For purposes of this section, the “average …

(a) Those individuals who apply to receive APTC and CSR shall meet the eligibility requirements of this section in addition to the requirements of Section 6472, except for the requirements specified in Section 6472(f) relating to enrollment in a catastrophic QHP. (b) For purposes…

(a) An applicant may request an eligibility determination only for enrollment in a QHP through the Exchange. (b) An applicant's request for an eligibility determination for an IAP shall be deemed a request for all IAPs. (c) The Exchange shall determine an applicant eligible for a…

(a) The Exchange shall verify or obtain information as provided in this section to determine whether an applicant meets the eligibility requirements specified in Section 6472 relating to the eligibility requirements for enrollment in a QHP through the Exchange. (b) Verification o…

(a) The Exchange shall verify whether an applicant is eligible for MEC other than through an eligible employer-sponsored plan, Medi-Cal, or CHIP, using information obtained by transmitting identifying information specified by HHS to HHS for verification purposes. (b) The Exchange…

(a) For purposes of this section, “family size” and “household income” have the meanings given the terms in Section 36B(d)(1) and (2) of IRC (26 USC § 36B(d)(1), (2)) and in 26 CFR Section 1.36B-1(d), (e). (b) For all individuals whose income is counted in calculating a tax filer…

(a) A tax filer's annual household income shall be determined based on the alternate verification procedures described in subdivisions (b) and (c) of this section if: (1) An applicant attests to projected annual household income in accordance with Section 6482(e)(2); (2) The tax …

(a) The Exchange shall verify whether an applicant reasonably expects to be enrolled in an eligible employer-sponsored plan or is eligible for qualifying coverage in an eligible employer-sponsored plan for the benefit year for which coverage is requested. (b) The Exchange shall o…

(a) Except as otherwise specified in this Article, for an applicant or enrollee for whom the Exchange cannot verify information required to determine eligibility for enrollment in a QHP, or for APTC and CSR, including when electronic data is required in accordance with this secti…

(a) Except as specified in subdivisions (d) and (m) of this section, the Exchange shall redetermine the eligibility of an enrollee or a qualified individual on an annual basis. (b) To conduct an annual redetermination for an enrollee or a qualified individual who requested an eli…

In addition to the definitions in Section 6410 of Article 2 of this chapter, for purposes of the SHOP Appeals Process, the following terms shall mean: Appeal record: The appeal decision, all papers and requests filed in the proceeding, and, if a hearing was held, the transcript o…

(a) An employer shall have the right to appeal: (1) An eligibility determination made by the SHOP in accordance with this Article; (2) A failure by the SHOP to provide a timely eligibility determination in accordance with this Article; or (3) A failure of the SHOP to provide writ…

(a) An appellant shall have an opportunity for informal resolution prior to a hearing in accordance with the requirements of this section. (b) Upon receipt of a valid appeal request, the SHOP shall: (1) Contact the appellant to attempt to informally resolve the appeal; and (2) Pr…

(a) An appellant shall have an opportunity for a hearing in accordance with the requirements of this section. (b) The appeals entity shall send written notice to the appellant of the date, time, and location or format of the hearing no later than 15 business days prior to the hea…

(a) The following entities and individuals are eligible to apply to become a Certified Enrollment Entity in the Navigator Program pursuant to Section 6656: (1) American Indian Tribes or Tribal Organizations; (2) Chambers of Commerce; (3) Cities, Counties, and Local Government Age…

§ 6654. In-Person Assistance Program Application. [Repealed] This database is current through 5/1/26 Register 2026, No. 18. Source: https://govt.westlaw.com/calregs/Document/I0FD2EDB95C3011EC9C68000D3A7C4BC3?viewType=FullText&originationContext=documenttoc&transitionType=Category…

(a) Navigator Program applicants shall submit an application in response to a request for application in accordance with the following process: (1) The individual or entity shall submit an application that includes all information, documentation, and declarations required in subd…

(a) An individual may become a Certified Enrollment Counselor according to the following process: (1) The Certified Enrollment Entity shall notify the Exchange of the individual to be affiliated according to the process described in subdivision (c) of this Section. (2) The indivi…

(a) A Certified Plan-Based Enrollment Entity (PBEE) and its Certified Plan-Based Enrollers (PBEs) shall perform the following functions: (1) Maintain expertise in eligibility, enrollment, and PBE Program specifications. (2) Provide enrollment assistance to consumers in a manner c…

(a) Each of the following shall be justification for the Exchange to suspend or revoke the certification of any PBEE or PBE: (1) Failure to comply with the requirements of this Article and all applicable federal and State laws; (2) If the PBE is not a Captive Agent, a potentially…

(a) Other than a determination made pursuant to Section 6708, Certified Plan-Based Enroller Fingerprinting and Criminal Record Checks, a decision that an individual or entity is not eligible or qualified to participate or continue to participate in a program under this Article ma…

§ 6800. Definitions. [Repealed] This database is current through 5/1/26 Register 2026, No. 18. Source: https://govt.westlaw.com/calregs/Document/I10F351D45C3011EC9C68000D3A7C4BC3?viewType=FullText&originationContext=documenttoc&transitionType=CategoryPageItem&contextData=(sc.Defa…

(a) Underground injection projects shall not result in any surface expression. (b) The following requirements apply to all underground injection projects that the Division determines have been known to cause a surface expression, and to all underground injection projects that inv…

(a) Each of the following shall be justification for the Exchange to suspend or revoke the certification of any Certified Medi-Cal Managed Care Plan or Certified Medi-Cal Managed Care Plan Enroller: (1) Failure to comply with all applicable federal or state laws or regulations; a…

(a) The Exchange shall use an exemption application to collect the applicant's information necessary to determine the applicant's eligibility for religious conscience and hardship exemptions. (b) To apply for a religious conscience or hardship exemption, an applicant or an applic…

(a) Except as specified in subdivisions (c) and (d) of this section, the Exchange shall determine an applicant eligible for and issue a certificate of exemption for any month if the Exchange determines that the applicant meets the requirements for one or more of the exemptions de…

(a) The Exchange shall use the exemption applications described in Section 6912 to collect information necessary for determining eligibility for and granting certificates of exemption as described in Section 6914. (b) If an individual submits the application specified in Section …

(a) Commencing August 1, 2013, CalRecycle shall review a jurisdiction's compliance with § 18838 as part of its review of the jurisdiction's source reduction and recycling element and household hazardous waste element programs, pursuant to 14 California Code of Regulations § 18772…

This Part contains definitions for this Subchapter. Subject to additional definitions contained in this Subchapter which are applicable to specific provisions of this Subchapter and unless the context otherwise requires, the definitions in this Part apply throughout this Subchapt…

Subject to additional definitions contained in this Subchapter which are applicable to specific provisions of this Subchapter and unless this Subchapter otherwise provides or the context otherwise requires, the definitions in Section 2003 of the Money Transmission Act apply throu…

“___percent equity security owner,” when used with respect to a corporation or other organization, means any person who owns, directly or indirectly, of record or beneficially, the specified percentage or more of any class of the equity securities of such corporation or other org…

“___percent voting security owner,” when used with respect to a corporation or other organization, means any person who owns, directly or indirectly, of record or beneficially, the specified percentage or more of the voting securities of such corporation or other organization.

“Significant subsidiary” means a subsidiary or a subsidiary and its subsidiaries which meet any of the following requirements on the basis of the most recent annual financial statements of such subsidiary and of its parent: (a) The parent's and its other subsidiaries' investments…

“Subsidiary,” when used with respect to a specified person (other than an individual), means any person (other than an individual) controlled by such specified person, directly or indirectly through one or more intermediaries.

“Unpaid,” when used with respect to a payment instrument or stored value, means that such payment instrument or stored value has been issued and sold and has not yet been paid or redeemed by the issuer.