California Code of Regulations
Title 10 - Investment
Chapter 5.5 - Major Risk Medical Insurance Board
Article 5 - Appeals
Section 2698.501 - Dispute Resolution

Universal Citation: 10 CA Code of Regs 2698.501
Current through Register 2024 Notice Reg. No. 38, September 20, 2024

Notwithstanding other sections in this Article, when a subscriber, enrolled dependent or dependent subscriber is dissatisfied with any action, or inaction, of the program's participating health plan in which he/she is enrolled, the subscriber, enrolled dependent or dependent subscriber shall first attempt to resolve the dispute with the participating health plan according to its established policies and procedures.

1. New section filed 12-20-90 as an emergency; operative 12-20-90 (Register 91, No. 11). A Certificate of Compliance must be transmitted to OAL by 4-19-91 or emergency language will be repealed by operation of law on the following day.
2. Certificate of Compliance as to 12-20-90 order transmitted to OAL on 4-18-91 and filed 5-17-91 (Register 91, No. 27).
3. Amendment filed 8-4-2003 as an emergency; operative 8-4-2003 (Register 2003, No. 32). Amendments to remain in effect for 180 days pursuant to section 21, chapter 794, Statutes of 2002 (AB 1401). A Certificate of Compliance must be transmitted to OAL by 2-2-2004 or emergency language will be repealed by operation of law on the following day.
4. Certificate of Compliance as to 8-4-2003 order transmitted to OAL 1-23-2004 and filed 3-1-2004 (Register 2004, No. 10).

Note: Authority cited: Sections 12711, 12712 and 12712.5, Insurance Code. Reference: Sections 12711 and 12732, Insurance Code.

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