Form DS1962 Request for New Sep Groups - California

What Is Form DS1962?

This is a legal form that was released by the California Department of Developmental Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form DS1962?
A: Form DS1962 is a request form for new SEP (Special Enrollment Period) groups in California.

Q: What is a Special Enrollment Period (SEP)?
A: A Special Enrollment Period (SEP) is a period outside of the annual Open Enrollment Period when individuals can enroll in a health insurance plan.

Q: Who is eligible to request new SEP groups using Form DS1962?
A: Insurance carriers and plan administrators in California are eligible to request new SEP groups using Form DS1962.

Q: What information is required on Form DS1962?
A: Form DS1962 requires information about the insurance carrier or plan administrator, the proposed SEP group(s), and the reason for requesting the new SEP group(s).

Q: Are there any fees associated with submitting Form DS1962?
A: No, there are no fees associated with submitting Form DS1962.

Q: What should I do after filling out Form DS1962?
A: After filling out Form DS1962, you should submit it to the California Department of Managed Health Care (DMHC) or your insurance carrier or plan administrator, as instructed.

Q: How long does it take to process a request for new SEP groups?
A: The processing time for a request for new SEP groups can vary. It is recommended to contact the California Department of Managed Health Care (DMHC) or your insurance carrier or plan administrator for more information.