California Administrative Code

As used in these regulations and in Section 10089.3 of the California Insurance Code. (a) “Accreditation” means certification that a person has received training that meets the standards set forth in this subchapter. (b) “Insurance adjuster” or “adjuster” is any person included i…

Every insurer shall provide training regarding the handling of earthquake claims to insurance adjusters who evaluate earthquake claims for or on behalf of the insurer. The insurer may provide the training directly or have the training provided by another entity. The insurer shall…

Designated Positions Disclosure Category Office of the State Treasurer 1 Deputy Treasurer 1 General Counsel 1 Attorney (All Levels) 1 Director, Public Finance Division 1 Director, Centralized Treasury & Securities Management Division 2 Director, Administration Division 1 Assistan…

For purposes of this subchapter, the following definitions apply: (a) “Applicant” means either (1) an organization seeking CDFI certification, or (2) a CDFI seeking a tax credit certificate from COIN, as indicated by the context of the provision where the word appears. (b) “Appli…

(a) Application submittal; revision; rejection. (1) An applicant shall file a completed application, on paper, using the current form provided by COIN, to apply for COIN CDFI certification. (2) Applications shall contain an original signed statement by the applicant's chief execu…

For the purpose of this part: (a) “Appellant” means an applicant, subscriber, enrolled dependent, or dependent subscriber who has filed an appeal with the program. (b) “Applicant” means an individual who has filed an application for major risk medical coverage with the program. (…

§ 852.61.10. Grant Agreement. [Repealed] This database is current through 5/1/26 Register 2026, No. 18. Source: https://govt.westlaw.com/calregs/Document/I294EC4045B4D11EC976B000D3A7C4BC3?viewType=FullText&originationContext=documenttoc&transitionType=CategoryPageItem&contextData…

(a) All eligibility requirements contained herein shall be applied without regard to sex, race, creed, color, sexual orientation, health status, national origin, occupation, or occupational history of the individual applying for the program. (b) To be eligible for the program, an…

(a) The Board shall establish an application review process which assures timely action on applications. The program shall complete the application review process within 30 days of the receipt of the application and payment of the initial subscriber contribution. (b) To apply for…

(a) Disenrollment shall occur when: (1) The subscriber requests in writing to be disenrolled or that an enrolled dependent be disenrolled. (2) The enrolled dependent requests in writing to be disenrolled. (3) The dependent subscriber requests in writing to be disenrolled. (4) The…

(a) If the Commissioner acts pursuant to the provisions of California Insurance Code Section 1875.24( c) or (d) and finds that the insurer has failed to comply with the provisions of this article, the Commissioner shall impose a monetary penalty in an amount not to exceed $5,000 …

These regulations are promulgated pursuant to authority granted to the Insurance Commissioner under the provisions of Section 1872.83 of the California Insurance Code. The purpose of these regulations is to set forth the criteria for distribution of funds to district attorneys fo…

(a) The semiannual interim payment process for Pilot Program payment shall occur starting at the end of the first reporting period, September 1, 2003 through December 31, 2003, and on June 30 and December 31 of each year thereafter, as long as there are Program Graduates or Progr…

(a) The time period for annual reconciliation, reports and payment shall be as follows: (1) The annual reconciliation reporting and payment process shall start one year after the end of each reporting period established in Health and Safety Code Section 1373.62(g)(1) and Insuranc…

(a) Each insurer will be assessed and will pay a fee of twenty-five ($.25) cents per vehicle for each quarter of a calendar year or any part thereof that it insures under a policy of insurance issued in this state. The assessment shall be made as provided in paragraph (b) of this…

(a) A Request for Application (RFA) shall be distributed annually to each county district attorney in the state. (b) The RFA shall specify a deadline for submission which shall be 30 days after distribution. (c) Any district attorney who fails to submit an application, or whose a…

(a) Each admitted disability insurer, as provided for by Insurance Code section 1872.85, shall pay an annual fee of twenty cents ($.20) for each person in this state that is covered by an individual or group disability insurance policy during each calendar year or any part thereo…

These regulations are promulgated pursuant to authority granted to the Insurance Commissioner under the provisions of Insurance Code section 1872.85. The purpose of these regulations is to set forth the intended and allowable use of funds to be distributed to district attorneys f…

(a) Pursuant to Insurance Code section 1872.85(b) and (c), the Commissioner shall distribute funds under this program to district attorneys who are able to show a likely positive outcome that will enhance the prosecution of disability insurance fraud in their jurisdiction. In ord…

For the purposes of these regulations: (a) “Application” means the written document submitted to the Commissioner by which a local district attorney requests program funding, including a plan setting forth the district attorney's intended use of funds to enhance investigation and…

(a) Following completion of the EDD hearing, the EDD hearing officer shall make a written recommendation to the State Review Panel. The hearing officer's recommendation shall contain the following information: (1) The names of the parties involved; (2) A statement of the alleged …

(a) Applicants determined eligible for the program shall be enrolled in their: (1) First choice participating health plan, unless that plan is currently serving the number of subscribers which it has contracted with the program to serve. (2) Second choice participating health pla…

(a) For infants born to subscribers who are enrolled on or after July 1, 2004, the subscriber shall register the infant in the Healthy Families Program as follows: (1) Upon the birth of the infant, the subscriber shall provide to the Healthy Families Program the following informa…

(a) A subscriber shall be disenrolled from the program and from the program's participating health plan when any of the following occur: (1) The subscriber so requests in writing. (2) The subscriber becomes ineligible because: (A) The subscriber fails to meet the residency requir…

The program may make available to eligible employees and dependents health benefits plans which are health maintenance organizations, preferred provider organizations or exclusive provider organizations. For eligible employees and dependents who reside in the United States of Ame…

(a) Qualified sole employers shall be eligible to participate in the program to provide health benefits coverage for sole employees and their dependents. (b) To be a qualified sole employer, a sole employer shall be a sole employer as defined as of the effective date of coverage …

(a) Each participating association will be reevaluated annually to determine if it continues to be a qualified guaranteed association. If the participating guaranteed association meets the requirements of Section 2699.6109, then the participating guaranteed association shall cont…

(a) To apply for the program a sole employer shall submit: (1) All information, documentation, and declarations necessary to determine program qualification and employee eligibility as set forth in subsection (d) of this section, and (2) The name, position, and phone number of a …

(a) To apply for the program an individual member shall submit: (1) All information, documentation, and declarations as set forth in Section 6121(d)(2) for sole employees except for Section 6121(d)(2)(H). (2) The name of the individual member's qualified guaranteed association. (…

(a) The program shall provide for an annual open enrollment period which shall last for at least thirty (30) consecutive days. During this period, enrolled sole employees may transfer from one health benefits plan to another, sole employees may choose to enroll themselves and the…

(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…

The following shall apply to applications for coverage in the program for sole employees and/or their dependents who are not late applicants and which were not part of the initial application of the qualified sole employer or submitted during an open enrollment process. An applic…

Sole employees and their dependents and guaranteed association members and their dependents who have applied to the program and have been accepted into the program shall be enrolled in a health benefit plan of the sole employee's or guaranteed association member's choice availabl…

(a) For enrolled sole employees and dependents, the effective date of coverage shall be as follows: (1) For enrollees whose eligibility determination was made pursuant to Section 2699.6131(a) the effective date of coverage shall be within twenty (20) calendar days of a determinat…

(a) For enrolled individual members 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(c) the effective date of coverage shall be within twenty (20) calendar days of a d…

(a) The effective date of dental coverage for an enrollee whose complete application is received by the program on or before the fifteenth day of the month shall be the first day of the next month. (b) The effective date of dental coverage for an enrollee whose complete applicati…

§ 939.18. Protection of Ancient Forest Components. [Repealed] This database is current through 5/1/26 Register 2026, No. 18. Source: https://govt.westlaw.com/calregs/Document/I359B43AA5B4D11EC976B000D3A7C4BC3?viewType=FullText&originationContext=documenttoc&transitionType=Categor…

(a) Individual members and their dependents, if any, shall be disenrolled from the program and from the program's participating carriers when any of the following occur: (1) The individual member's participating guaranteed association is disqualified from the program. (2) The ind…

(a) If a guaranteed association is disqualified a member employer which meets the definition of sole employer set forth in Section 2699.6000 may continue coverage in the program without the sponsorship of a guaranteed association by notifying the program in writing of the member …

(a) Sole employees and their dependents, if any, shall be disenrolled from the program and from the program's participating carriers when any of the following occur: (1) The enrolled sole employee's participating employer is disqualified from the program. (2) The enrolled sole em…

(a) Member employees and their dependents, if any, shall be disenrolled from the program and from the program's participating carriers when any of the following occur: (1) The member employee's guaranteed association is disqualified. However, the member employee shall not be dise…

(a) Health benefits plans offered under this program shall exclude the following benefits: (1) Services, supplies, items, procedures or equipment which are not medically necessary. “Medically necessary” as applied to the diagnosis or treatment of illness is an article or service …

Every participating carrier shall require copayments and deductibles for health benefits provided to enrollees subject to the following: (a) For enrollees in health maintenance organizations, exclusive provider organizations, preferred provider organizations, health maintenance o…

Health benefits plan rates shall be based exclusively on the following risk categories: (a) Geographic region of sole employee's or guaranteed association member's residence. (1) The six geographic regions for sole employee's or guaranteed association members residing within the …

Dental benefits plan rates shall be based exclusively on the following risk categories: (a) Geographic region of sole employee's or guaranteed association member's residence within the state of California. The six geographic regions shall be as specified in Subsection 2699.6300(a…

Health benefit plan rates and dental benefit plan rates shall be established for each rating period and the rating period for the program shall be a twelve (12) month period.

(a) To apply for the program: (1) An applicant shall submit all information, documentation, and declarations required in subsection (c) of this section. (2) Payment in full of the following arrears, incurred within the prior twelve (12) months, by the applicant is required prior …

(a) The program shall pay an application assistance fee to an eligible entity that assists an applicant in completing a program application or assists an applicant in completing annual eligibility review, if the following conditions are met: (1) A child or a child-linked adult ar…

(a) The basic scope of benefits offered by participating health plans must comply with all requirements of the Knox-Keene Health Care Service Plan Act of 1975 including amendments as well as its applicable regulations, and shall include all of the benefits and services listed in …

§ 450.16. Change of Business or Corporate Name. [Renumbered] This database is current through 5/1/26 Register 2026, No. 18. Source: https://govt.westlaw.com/calregs/Document/I67CA42735A1E11EC8227000D3A7C4BC3?viewType=FullText&originationContext=documenttoc&transitionType=Category…