There are two versions of the notice:
- The Department of Managed Health Care (DMHC) has provided a Notice for members who cease coverage from a health maintenance organization (HMO) health plan.
- The California Department of Insurance (CDI) has provided a Notice for insureds who cease coverage from a preferred provider organization (PPO) insurance plan. Health Net will be sending the applicable notice to members who cease coverage. It will be included with their Prior Creditable Coverage letter.
Click here to view The Department of Managed Health Care (DMHC) Notice for members
Click here to view The California Department of Insurance (CDI) Notice for insureds
Section 1366.50 is added to the California Health and Safety Code, to read:
(a) On and after January 1, 2014, a health care service plan providing individual or group health care coverage shall provide to enrollees or subscribers who cease to be enrolled in coverage a notice informing them that they may be eligible for reduced-cost coverage through the California Health Benefit Exchange ... or no-cost coverage through Medi-Cal. The notice shall include information on obtaining coverage pursuant to those programs, shall be in no less than 12-point type. ...(b) The notice described in subdivision (a) may be incorporated into or sent simultaneously with and in the same manner as any other notices sent by the health care service plan.(c) This section shall not apply with respect to ... a Medicare supplemental plan contract.
Sources: Health Net Pulse and California Legislative Digest.
