California Code of Regulations
Title 10 - Investment
Chapter 5 - Insurance Commissioner
Subchapter 2 - Policy Forms and Other Documents
Article 1.9 - Standards for Determining Whether Benefits of an Individual Hospital, Medical or Surgical Policy Are Unreasonable in Relation to the Premium Charged Pursuant to Subdivision (c) of Section 10293
Section 2222.15 - Communication to Insurer
Prior to taking any action under Section 2222.17, the commissioner will communicate with the insurer in writing, identifying those policies for which any preliminary review does not establish an inference that the benefits provided therein are reasonable in relation to the premium charged. Such communication shall be deemed confidential, and shall advise the insurer that it should inform the commissioner as to any factors applicable to the consideration of the policy under review which it considers relevant to the reasonableness of the relationship of benefits to premiums. The insurer may, from time to time, submit supplementary material which it deems to be relevant to the study of the loss ratios generated by a specific policy; and the commissioner may request such additional information as the commissioner may deem necessary to complete the commissioner's consideration of such policy.
1. Amendment of
section and new NOTE filed 12-29-2006; operative 3-29-2007 pursuant to Insurance
Code section
10293(a)
(Register 2006, No. 52).
2. Change without regulatory effect amending
section filed 7-14-2021 pursuant to section
100, title 1, California Code of
Regulations (Register 2021, No. 29). Filing deadline specified in Government Code
section
11349.3(a)
extended 60 calendar days pursuant to Executive Order
N-40-20.
Note: Authority cited: Section 10293, Insurance Code. Reference: Section 10293(a), Insurance Code.
