CALIFORNIA HEALTH BENEFIT EXCHANGE

Cal. GOV § 100501

California Statutes

For purposes of this title, the following

definitions shall apply: (a) “Board” means the board described in subdivision (

a) of

Section 100500. (b) “Bridge plan product” means an individual health benefit plan as defined in subdivision (

f) of

Section 1399.845 of the Health and Safety Code that is offered by a health care service plan licensed under the Knox-Keene Health Care Service Plan Act of 1975 (Chapter 2.2 (commencing with

Section 1340) of Division of the Health and Safety Code) or as defined in subdivision (

a) of

Section 10198.6 of the Insurance Code that is offered by a health insurer licensed under the Insurance Code that contracts with the Exchange pursuant to this title. (c) “Carrier” means either a private health insurer holding a valid outstanding certificate of authority from the Insurance Commissioner or a health care service plan, as defined under subdivision (

f) of

Section of the Health and Safety Code, licensed by the Department of Managed Health Care. (d) “Exchange” means the California Health Benefit Exchange established by

Section 100500. (e) “Federal act” means the federal Patient Protection and Affordable Care Act (Public Law 111-148), as amended by the federal Health Care and Education Reconciliation Act of 2010 (Public Law 111-152), and any amendments to, or regulations or guidance issued under, those acts. (f) “Fund” means the California Health Trust Fund established by

Section 100520. (g) “Health plan” and “qualified health plan” have the same meanings as those terms are defined in

Section of the federal act. (h) “Healthy Families coverage” means coverage under the Healthy Families Program pursuant to

Part 6.2 (commencing with

Section 12693) of Division of the Insurance Code. (i) “Medi-Cal coverage” means coverage under the Medi-Cal program pursuant to

Chapter 7 (commencing with

Section 14000) of Part of Division of the Welfare and Institutions Code. (j) “Modified adjusted gross income” shall have the same meaning as the term is used in

Section 1401(d)(2)(B) (26 U.S.C.

Sec. 36B) of the federal act. (k) “Members of the modified adjusted gross income household” shall mean any individual who would be included in the calculation for modified adjusted gross income pursuant to

Section 1401(a) (26 U.S.C.

Sec. 36B(d)) of the federal act and as otherwise determined by the Exchange as permitted by the federal act and this title. (l) “SHOP Program” means the Small Business Health Options Program established by subdivision (

m) of

Section 100502. (m) “Supplemental coverage” means coverage through a specialized health care service plan contract, as defined in subdivision (

o) of

Section of the Health and Safety Code, or a specialized health insurance policy, as defined in

Section of the Insurance Code. (

n) This

section shall become inoperative on the October that is five years after the date that federal approval of the bridge plan option occurs, and, as of the second January thereafter, is repealed, unless a later enacted statute that is enacted before that date deletes or extends the dates on which it becomes inoperative and is repealed.

Document details

CollectionCalifornia Statutes
CitationCal. GOV § 100501
Date2013-09-30
Typestatute
Languageen
SourceCA_STAT
IdentifierGOV100501.201352

CALIFORNIA HEALTH BENEFIT EXCHANGE

Cal. GOV § 100501

California Statutes

CALIFORNIA HEALTH BENEFIT EXCHANGE

Cal. GOV § 100501

California Statutes

For purposes of this title, the following

definitions shall apply: (a) “Board” means the board described in subdivision (

a) of

Section 100500. (b) “Bridge plan product” means an individual health benefit plan as defined in subdivision (

f) of

Section 1399.845 of the Health and Safety Code that is offered by a health care service plan licensed under the Knox-Keene Health Care Service Plan Act of 1975 (Chapter 2.2 (commencing with

Section 1340) of Division of the Health and Safety Code) or as defined in subdivision (

a) of

Section 10198.6 of the Insurance Code that is offered by a health insurer licensed under the Insurance Code that contracts with the Exchange pursuant to this title. (c) “Carrier” means either a private health insurer holding a valid outstanding certificate of authority from the Insurance Commissioner or a health care service plan, as defined under subdivision (

f) of

Section of the Health and Safety Code, licensed by the Department of Managed Health Care. (d) “Exchange” means the California Health Benefit Exchange established by

Section 100500. (e) “Federal act” means the federal Patient Protection and Affordable Care Act (Public Law 111-148), as amended by the federal Health Care and Education Reconciliation Act of 2010 (Public Law 111-152), and any amendments to, or regulations or guidance issued under, those acts. (f) “Fund” means the California Health Trust Fund established by

Section 100520. (g) “Health plan” and “qualified health plan” have the same meanings as those terms are defined in

Section of the federal act. (h) “Healthy Families coverage” means coverage under the Healthy Families Program pursuant to

Part 6.2 (commencing with

Section 12693) of Division of the Insurance Code. (i) “Medi-Cal coverage” means coverage under the Medi-Cal program pursuant to

Chapter 7 (commencing with

Section 14000) of Part of Division of the Welfare and Institutions Code. (j) “Modified adjusted gross income” shall have the same meaning as the term is used in

Section 1401(d)(2)(B) (26 U.S.C.

Sec. 36B) of the federal act. (k) “Members of the modified adjusted gross income household” shall mean any individual who would be included in the calculation for modified adjusted gross income pursuant to

Section 1401(a) (26 U.S.C.

Sec. 36B(d)) of the federal act and as otherwise determined by the Exchange as permitted by the federal act and this title. (l) “SHOP Program” means the Small Business Health Options Program established by subdivision (

m) of

Section 100502. (m) “Supplemental coverage” means coverage through a specialized health care service plan contract, as defined in subdivision (

o) of

Section of the Health and Safety Code, or a specialized health insurance policy, as defined in

Section of the Insurance Code. (

n) This

section shall become inoperative on the October that is five years after the date that federal approval of the bridge plan option occurs, and, as of the second January thereafter, is repealed, unless a later enacted statute that is enacted before that date deletes or extends the dates on which it becomes inoperative and is repealed.

Document details

CollectionCalifornia Statutes
CitationCal. GOV § 100501
Date2013-09-30
Typestatute
Languageen
SourceCA_STAT
IdentifierGOV100501.201352