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Effective Date: November 1, 2009 November 1, 2009 November 1, 2009 Families is covering substantial numbers of children who were previously covered under employer-sponsored plans. • The state has established exceptions to this limitation in cases where prior coverage ended due to reasons unrelated to the availability of the Program. These include, but are not limited to: - Loss of employment due to factors other than voluntary termination. - Change to a new employer that does not provide an option for dependent coverage. - Change of address so that no employer sponsored coverage is available. - Discontinuation of health benefits to all employees of the applicant’s employer. - Expiration of COBRA coverage period. - Coverage provided pursuant to an exemption authorized under subdivision (I) of Section 1367 of the Health and Safety Code. • Establishes copayments for non-preventive services. • Prohibits insurance agents and insurers from referring dependents to the program where dependents are already covered through employer sponsored coverage. Violation of the provisions would constitute unfair competition under the Business and Professions Code. • Makes it an unfair labor practice for an employer to refer employees to the program for dependent coverage where the employer provides for such coverage. • Makes it an unfair labor practice for an employer to change coverage or change the employee share of cost for coverage to get employees to enroll in the Program. • Directs MRMIB to develop participation standards that minimize “crowd out”. • Directs MRMIB to monitor applications to determine whether employers or employees dropped coverage to participate in the program. Approval Date: HFP Family Contribution Increase HFP Co-Payment Increase HFP Limited Dental Plan Choice for New Subscribers

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