Senate Bill 260

Loss of health coverage notification

SB 260 requires health plans to notify enrollees and subscribers that the health plan will provide to Covered California the contact information of individuals who cease enrollment with the health plan. SB 260 applies to health plans providing individual or group health care coverage. This does not include Medi-Cal plans. However, by its terms, SB 260’s notice requirements do not apply to specialized health plan products or Medicare supplement products. Enrollees and subscribers may opt out of having the health plan send their information to Covered California.

When enrollees or subscribers cease to be enrolled with a health plan, the health plan must notify them that they may be eligible for reduced-cost coverage through Covered California or no-cost coverage through Medi-Cal. Additionally, the health plan must send the subscribers’ and enrollees’ names, addresses, and other information to Covered California, unless the subscriber or enrollee previously opted-out.

Finally, beginning no later than July 1, 2021, SB 260 requires Covered California, upon receipt of the information from the health plan, to enroll the individuals who lost coverage into the lowest cost silver plan.

Please complete the form to opt out of WHA sending notifications to Covered California.


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