Section 7000.5 Of Article 1. Health And Welfare Benefits From California Education Code >> Division 1. >> Title 1. >> Part 5. >> Chapter 1. >> Article 1.
7000.5
. (a) Any health benefits plan provided by any county
superintendent of schools, school district, or community college
district pursuant to this article may contain a preexisting condition
exclusion, as follows:
(1) The coverage of any person who has a break in coverage, may,
for the first three months after reenrollment, exclude any care
received for a condition which is caused by, or results from, a
condition existing at the time of reenrollment or for which the
person received medical advice or treatment during the six-month
period immediately preceding reenrollment.
(2) Coverage of any person who is confined to a hospital or his or
her home for medical treatment at the time of enrollment in a health
plan pursuant to this section shall exclude any benefits until the
period commencing on the 15th day following the termination of that
confinement.
(b) This section does not apply to any entity which provides a
health benefits plan which contains a preexisting condition
exclusion.
(c) This section does not apply to any changes in enrollment by a
person currently enrolled in a school district's health benefits plan
or due to any change in enrollment or coverage caused by the
retirement of a person.