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Late Enrollment Rules Waived

Provider Type

  • Physicians
  • Participating Physician Groups (PPG)
  • Hospitals
  • Ancillary

The late enrollment rule does not apply when members decline Health Net HMO coverage because they were, or a family member was, enrolled in Medi-Cal, and lost coverage because they exceeded Medi-Cal's income limits

Late enrollment rules are waived if the individual meets all of the following requirements:

  • Requests enrollment within 30 days after termination of coverage or employer contribution toward coverage provided under another employer health benefit plan
  • Requests enrollment within 60 days after termination of Medi-Cal program coverage
Last Updated: 07/01/2024