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Article 5. Application, Eligibility, and Enrollment Process for the Individual Exchange | Midpage
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California Code of Regulations
Title 10
Chapter 12. California Health Benefit Exchange
Article 5. Application, Eligibility, and Enrollment Process for the Individual Exchange
Article 5. Application, Eligibility, and Enrollment Process for the Individual Exchange
State of California
6470
Application.
6472
Eligibility Requirements for Enrollment in a QHP Through the Exchange.
6474
Eligibility Requirements for APTC and CSR.
6476
Eligibility Determination Process.
6478
Verification Process Related to Eligibility Requirements for Enrollment in a QHP Through the Exchange.
6480
Verification of Eligibility for MEC Other than Through an Eligible Employer-Sponsored Plan Related to Eligibility Determination for APTC and CSR.
6482
Verification of Family Size and Household Income Related to Eligibility Determination for APTC and CSR.
6484
Verification Process for Changes in Household Income Related to Eligibility Determination for APTC and CSR.
6486
Alternate Verification Process for APTC and CSR Eligibility Determination for Decreases in Annual Household Income or if Tax Return Data is Unavailable.
6490
Verifications of Enrollment in an Eligible Employer-Sponsored Plan and Eligibility for Qualifying Coverage in an Eligible Employer-Sponsored Plan Related to Eligibility Determination for APTC and CSR.
6492
Inconsistencies.
6494
Special Eligibility Standards and Verification Process for Indians.
6496
Eligibility Redetermination During a Benefit Year.
6498
Annual Eligibility Redetermination.
6500
Enrollment of Qualified Individuals into QHPs.
6502
Initial and Annual Open Enrollment Periods.
6504
Special Enrollment Periods.
6506
Termination of Coverage in a QHP.
6508
Authorized Representative.
6510
Right to Appeal.