Section 1374.57 Of Article 5. Standards From California Health And Safety Code >> Division 2. >> Chapter 2.2. >> Article 5.
1374.57
. (a) No group health care service plan that provides
hospital, medical, or surgical expense benefits for employees or
subscribers and their dependents shall exclude a dependent child from
eligibility or benefits solely because the dependent child does not
reside with the employee or subscriber.
(b) A health care service plan that provides hospital, medical, or
surgical expense benefits for employees or subscribers and their
dependents shall enroll, upon application by the employer or group
administrator, a dependent child of the noncustodial parent when the
parent is the employee or subscriber, at any time the noncustodial or
custodial parent makes an application for enrollment to the employer
or group administrator when a court order for medical support
exists. Except as provided in Section 1374.3, the application to the
employer or group administrator shall be made within 90 days of the
issuance of the court order. In the case of children who are eligible
for medicaid, the State Department of Health Services or the
district attorney in whose jurisdiction the child resides may make
that application.
(c) This section shall not be construed to require that a health
care service plan enroll a dependent who resides outside the plan's
geographic service area, except as provided in Section 1374.3.
(d) Notwithstanding any other provision of this section, all
health care service plans shall comply with the standards set forth
in Section 1374.3.