Section 1399.859 Of Article 11.8. Individual Access To Health Care Coverage From California Health And Safety Code >> Division 2. >> Chapter 2.2. >> Article 11.8.
1399.859
. (a) A health care service plan that receives an
application for an individual health benefit plan outside the
Exchange during the initial open enrollment period, an annual
enrollment period, or a special enrollment period described in
Section 1399.849 shall inform the applicant that he or she may be
eligible for lower cost coverage through the Exchange and shall
inform the applicant of the applicable enrollment period provided
through the Exchange described in Section 1399.849.
(b) On or before October 1, 2013, and annually every October 1
thereafter, a health care service plan shall issue a notice to a
subscriber enrolled in an individual health benefit plan offered
outside the Exchange. The notice shall inform the subscriber that he
or she may be eligible for lower cost coverage through the Exchange
and shall inform the subscriber of the applicable open enrollment
period provided through the Exchange described in Section 1399.849.
(c) This section shall not apply where the individual health
benefit plan described in subdivision (a) or (b) is a grandfathered
health plan.