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Public Health Division
Public Health Division

 Health Insurance & Access to Health Care Providers


El Centro - El Centro (En Español)
Berkeley Public Health Clinic
830 University Avenue
Berkeley, CA 94704
(510) 981-5370

Child Health and Disability Prevention Program (CHDP)
1947 Center Street, 2nd Floor
Berkeley, CA 94704
(510) 981-5294

Berkeley High School Health Center
1980 Allston Way, Room H-105
Berkeley, CA 94704
(510) 644-6965
*For students of the Berkeley High School community


Children's Rights to Coverage for Pre-Existing Conditions

Health Plan Options for Uninsured Children

Families can find coverage options on the federal government’s website at http://finder.healthcare.gov.  The main federal health care website is at www.healthcare.gov.

The deadline for open enrollment for families wanting to buy insurance coverage for children with pre-existing health conditions is March 1st.  Below is a summary of families' rights to this coverage for their children and I have attached additional information from the state Department of Managed Health Care. 

  • Under last year’s Federal health care reform and recent California law, health plans can no longer deny or limit coverage to a child under 19 because of a pre-existing health condition.  Health plans must offer and sell coverage to children at all times of the year, but California’s law, AB 2244, creates “open enrollment” periods during which a child (or parent on behalf of a child) can apply for coverage at a lower premium rate.  AB 2244 requires that during open enrollment periods the premiums which health plans may charge are capped at no more than twice the premium for a healthy child. 
  • The initial open enrollment period began on January 1, 2011 and ends on March 1, 2011.
  • After March 1, 2011, a child will have an open enrollment period every year during the month of his/her birthday. (For example, a child born on October 27, 2010 has an open enrollment period every year for the entire month of October.)
  • Premium costs are also lower during a “late enrollment” period, which may be available if the child or the family experiences certain major changes, such as loss of employment-sponsored coverage, loss of coverage under certain government programs, birth of a new child, or a move to California.
  • Families should apply for coverage for children before March 1, 2011 to take advantage of the premium cap and avoid higher premiums. 



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Public Health Division, 1947 Center Street, 2nd Floor, Berkeley, CA 94704
Questions or comments? Email: publichealth@cityofberkeley.info Phone: (510) 981-5300
(510) 981-CITY/2489 or 311 from any landline in Berkeley
TTY: (510) 981-6903
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