SECTIONS 131510-131511 - California Statutes

HEALTH AND SAFETY CODE

SECTION 131510-131511

131510. The program may be implemented in Santa Clara County at the
option of the local initiative, but if so implemented shall be as a
pilot program. A maximum of 5,000 employees may be covered in the
county, provided, however, that the number of enrollees may be
increased pursuant to the prior approval of the Department of Managed
Health Care. The local initiative shall administer the program.

131511. (a) In implementing the pilot program established pursuant
to this division, the local initiative in Santa Clara County shall
not be subject to the requirements of subdivision (a) of Section
1357.03. The program shall be otherwise subject to the requirements
of Chapter 2.2 (commencing with Section 1340) of Division 2,
including Article 3.1 (commencing with Section 1357) thereof, except
as otherwise provided in this division, and shall be subject to
approval as to regulatory filings with the Department of Managed
Health Care as prescribed in Chapter 2.2 (commencing with Section
1340) of Division 2 and in implementing regulations promulgated by
the department.
(b) Except in the case of a late enrollee or for satisfaction of a
preexisting condition clause in the case of initial coverage for an
eligible employee, the local initiative may not exclude any eligible
employee who would otherwise be eligible for health care coverage
under this division on the basis of an actual or expected health care
condition. The local initiative may not limit or exclude coverage
for any eligible employee by type of illness, treatment, medical
condition, or accident, except for preexisting conditions as
permitted under Section 1357.06.
(c) Coverage provided through the program to an eligible small
business shall be renewable with respect to all eligible employees at
the option of the participating small business.